Provider Demographics
NPI:1770963159
Name:OLYMPIA HOSPICE CARE, INC.
Entity type:Organization
Organization Name:OLYMPIA HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVEDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-222-8525
Mailing Address - Street 1:13721 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3023
Mailing Address - Country:US
Mailing Address - Phone:747-222-8525
Mailing Address - Fax:818-616-7637
Practice Address - Street 1:13721 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3023
Practice Address - Country:US
Practice Address - Phone:747-222-8525
Practice Address - Fax:818-616-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based