Provider Demographics
NPI:1811243900
Name:ACCREDITED HOSPICE, INC.
Entity type:Organization
Organization Name:ACCREDITED HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VARDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-762-1383
Mailing Address - Street 1:12509 OXNARD ST STE 211
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4440
Mailing Address - Country:US
Mailing Address - Phone:818-762-1383
Mailing Address - Fax:818-762-1389
Practice Address - Street 1:12509 OXNARD ST STE 211
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4440
Practice Address - Country:US
Practice Address - Phone:818-762-1383
Practice Address - Fax:818-762-1389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based