Provider Demographics
NPI:1841868650
Name:AMERICAN HERITAGE HOSPICE #2 INC
Entity type:Organization
Organization Name:AMERICAN HERITAGE HOSPICE #2 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MESROPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-426-4949
Mailing Address - Street 1:2390 E BIDWELL ST STE 300
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3873
Mailing Address - Country:US
Mailing Address - Phone:916-426-4949
Mailing Address - Fax:916-426-4948
Practice Address - Street 1:2390 E BIDWELL ST STE 300
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3873
Practice Address - Country:US
Practice Address - Phone:916-426-4949
Practice Address - Fax:916-426-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based