Provider Demographics
NPI:1750973285
Name:24 CARE HOSPICE
Entity type:Organization
Organization Name:24 CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-297-2194
Mailing Address - Street 1:1800 BROADVIEW DR STE 261-M
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1259
Mailing Address - Country:US
Mailing Address - Phone:747-297-2194
Mailing Address - Fax:747-297-2195
Practice Address - Street 1:1800 BROADVIEW DR STE 261-M
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1259
Practice Address - Country:US
Practice Address - Phone:747-297-2194
Practice Address - Fax:747-297-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based