Provider Demographics
NPI:1740864958
Name:INCENTIVE HOSPICE, INC.
Entity type:Organization
Organization Name:INCENTIVE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKSETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-272-9502
Mailing Address - Street 1:8232 GARVEY AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2582
Mailing Address - Country:US
Mailing Address - Phone:747-272-9502
Mailing Address - Fax:844-651-0798
Practice Address - Street 1:8232 GARVEY AVE STE 206
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2582
Practice Address - Country:US
Practice Address - Phone:747-272-9502
Practice Address - Fax:844-651-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based