Provider Demographics
NPI:1215508205
Name:ST. ROSE HOSPICE&PALLIATIVE CARE,INC.
Entity type:Organization
Organization Name:ST. ROSE HOSPICE&PALLIATIVE CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NVARD
Authorized Official - Middle Name:
Authorized Official - Last Name:OHANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-422-0221
Mailing Address - Street 1:2701 E CHAPMAN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3703
Mailing Address - Country:US
Mailing Address - Phone:714-770-0152
Mailing Address - Fax:800-562-1701
Practice Address - Street 1:2701 E CHAPMAN AVE STE 101
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3703
Practice Address - Country:US
Practice Address - Phone:714-770-0152
Practice Address - Fax:800-562-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based