Provider Demographics
NPI:1720629488
Name:ALL CARE HOSPICE CARE
Entity Type:Organization
Organization Name:ALL CARE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:GHRJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-855-9598
Mailing Address - Street 1:1102 SAN FERNANDO RD UNIT 208
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-3299
Mailing Address - Country:US
Mailing Address - Phone:818-855-9598
Mailing Address - Fax:916-260-0901
Practice Address - Street 1:1102 SAN FERNANDO RD UNIT 208
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-3299
Practice Address - Country:US
Practice Address - Phone:818-855-9598
Practice Address - Fax:916-260-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based