Provider Demographics
NPI:1952902090
Name:HEALTH CORNER HOSPICE
Entity Type:Organization
Organization Name:HEALTH CORNER HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELSIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGHDASARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-444-4449
Mailing Address - Street 1:3901 FOOTHILL BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1668
Mailing Address - Country:US
Mailing Address - Phone:818-369-7033
Mailing Address - Fax:
Practice Address - Street 1:3901 FOOTHILL BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-1668
Practice Address - Country:US
Practice Address - Phone:818-369-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based