Provider Demographics
NPI:1720655152
Name:FULL HEART HOSPICE CARE INC
Entity Type:Organization
Organization Name:FULL HEART HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VILEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MNATSAKANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-696-2687
Mailing Address - Street 1:229 N CENTRAL AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3546
Mailing Address - Country:US
Mailing Address - Phone:818-696-2687
Mailing Address - Fax:
Practice Address - Street 1:229 N CENTRAL AVE STE 405
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3546
Practice Address - Country:US
Practice Address - Phone:818-696-2687
Practice Address - Fax:818-696-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based