Provider Demographics
NPI:1801266747
Name:LEGACY COMFORT CARE HOSPICE, INC.
Entity type:Organization
Organization Name:LEGACY COMFORT CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KARAPET
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-912-6174
Mailing Address - Street 1:20944 SHERMAN WAY
Mailing Address - Street 2:STE 105
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1747
Mailing Address - Country:US
Mailing Address - Phone:818-912-6174
Mailing Address - Fax:818-912-6239
Practice Address - Street 1:20944 SHERMAN WAY
Practice Address - Street 2:STE 105
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1747
Practice Address - Country:US
Practice Address - Phone:818-912-6174
Practice Address - Fax:818-912-6239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health