Provider Demographics
NPI:1801495759
Name:AHPC BAKERSFIELD, INC.
Entity type:Organization
Organization Name:AHPC BAKERSFIELD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERTERYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-383-2013
Mailing Address - Street 1:4900 CALIFORNIA AVE STE 210B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7080
Mailing Address - Country:US
Mailing Address - Phone:661-383-2013
Mailing Address - Fax:661-383-2634
Practice Address - Street 1:4900 CALIFORNIA AVE STE 210B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7080
Practice Address - Country:US
Practice Address - Phone:661-383-2013
Practice Address - Fax:661-383-2634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based