Provider Demographics
NPI:1124448857
Name:GUARDIAN ANGELS HOSPICE CARE INC
Entity type:Organization
Organization Name:GUARDIAN ANGELS HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELKONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-781-7513
Mailing Address - Street 1:14402 HAYNES ST STE 101
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1481
Mailing Address - Country:US
Mailing Address - Phone:818-781-7513
Mailing Address - Fax:818-475-5365
Practice Address - Street 1:14402 HAYNES ST STE 101
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1481
Practice Address - Country:US
Practice Address - Phone:818-781-7513
Practice Address - Fax:818-475-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based