Provider Demographics
NPI:1063080547
Name:SR BEST HOSPICE INC
Entity type:Organization
Organization Name:SR BEST HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REVAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-206-1611
Mailing Address - Street 1:123 W AVENUE J5 STE C
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4416
Mailing Address - Country:US
Mailing Address - Phone:661-206-1611
Mailing Address - Fax:661-206-1622
Practice Address - Street 1:123 W AVENUE J5 STE C
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4416
Practice Address - Country:US
Practice Address - Phone:661-206-1611
Practice Address - Fax:661-206-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based