Provider Demographics
NPI:1780294652
Name:LOVING HEART HOSPICE INC
Entity type:Organization
Organization Name:LOVING HEART HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-584-3338
Mailing Address - Street 1:19231 VICTORY BLVD # 255B
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6308
Mailing Address - Country:US
Mailing Address - Phone:818-584-3338
Mailing Address - Fax:818-584-3494
Practice Address - Street 1:19231 VICTORY BLVD # 255B
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6308
Practice Address - Country:US
Practice Address - Phone:818-584-3338
Practice Address - Fax:818-584-3494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based