Provider Demographics
NPI:1750795761
Name:GALAXY HOSPICE CARE, INC.
Entity type:Organization
Organization Name:GALAXY HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKIASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-263-7230
Mailing Address - Street 1:3773 TIBBETTS ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2600
Mailing Address - Country:US
Mailing Address - Phone:951-263-7230
Mailing Address - Fax:951-263-7232
Practice Address - Street 1:3773 TIBBETTS ST
Practice Address - Street 2:SUITE F
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2600
Practice Address - Country:US
Practice Address - Phone:951-263-7230
Practice Address - Fax:951-263-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based