Provider Demographics
NPI:1194306050
Name:CLEAR CHOICE HOSPICE INC.
Entity type:Organization
Organization Name:CLEAR CHOICE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRIGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-237-7366
Mailing Address - Street 1:8700 RESEDA BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-6120
Mailing Address - Country:US
Mailing Address - Phone:747-237-7366
Mailing Address - Fax:747-237-7363
Practice Address - Street 1:8700 RESEDA BLVD STE 217
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-6120
Practice Address - Country:US
Practice Address - Phone:747-237-7366
Practice Address - Fax:747-237-7363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based