Provider Demographics
NPI:1427324490
Name:ARROWHEAD HOSPICE CENTERS INC
Entity type:Organization
Organization Name:ARROWHEAD HOSPICE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-236-3949
Mailing Address - Street 1:17035 N 67TH AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4511
Mailing Address - Country:US
Mailing Address - Phone:623-236-3949
Mailing Address - Fax:623-236-8912
Practice Address - Street 1:17035 N 67TH AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-4511
Practice Address - Country:US
Practice Address - Phone:623-236-3949
Practice Address - Fax:623-236-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC5239251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based