Provider Demographics
NPI:1831700541
Name:NEW ERA HOSPICE, INC.
Entity type:Organization
Organization Name:NEW ERA HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAYANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-453-3053
Mailing Address - Street 1:22048 SHERMAN WAY STE 216
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1841
Mailing Address - Country:US
Mailing Address - Phone:818-453-3053
Mailing Address - Fax:818-476-5636
Practice Address - Street 1:1600 SACRAMENTO INN WAY STE 224
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-3461
Practice Address - Country:US
Practice Address - Phone:916-222-0022
Practice Address - Fax:916-677-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based