Provider Demographics
NPI:1306117742
Name:VISITING NURSES HOSPICE, INC.
Entity type:Organization
Organization Name:VISITING NURSES HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-485-2218
Mailing Address - Street 1:539 N GLENOAKS BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3201
Mailing Address - Country:US
Mailing Address - Phone:818-485-2218
Mailing Address - Fax:818-237-4770
Practice Address - Street 1:10545 BURBANK BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2245
Practice Address - Country:US
Practice Address - Phone:818-485-2218
Practice Address - Fax:818-237-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health