Provider Demographics
NPI:1720497605
Name:WEST COAST HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:WEST COAST HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNIG
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVITIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-792-8774
Mailing Address - Street 1:6422 BELLINGHAM AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1417
Mailing Address - Country:US
Mailing Address - Phone:818-540-5301
Mailing Address - Fax:
Practice Address - Street 1:6422 BELLINGHAM AVE STE 202B
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1417
Practice Address - Country:US
Practice Address - Phone:818-792-8774
Practice Address - Fax:818-509-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based