Provider Demographics
NPI:1700468683
Name:NAZARETH HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:NAZARETH HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAZAR
Authorized Official - Middle Name:
Authorized Official - Last Name:YEGEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-403-1803
Mailing Address - Street 1:16110B HART ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16110B HART ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3903
Practice Address - Country:US
Practice Address - Phone:818-403-1803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based