Provider Demographics
NPI:1700473311
Name:BELLEROSE HOSPICE CARE INC
Entity Type:Organization
Organization Name:BELLEROSE HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:POGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-857-7080
Mailing Address - Street 1:26893 BOUQUET CANYON RD STE L
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2374
Mailing Address - Country:US
Mailing Address - Phone:661-857-7080
Mailing Address - Fax:661-481-7353
Practice Address - Street 1:26893 BOUQUET CANYON RD STE L
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2374
Practice Address - Country:US
Practice Address - Phone:661-857-7080
Practice Address - Fax:661-481-7353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based