Provider Demographics
NPI:1427326719
Name:SUPERIOR CARE HOSPICE INC
Entity type:Organization
Organization Name:SUPERIOR CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ASTGHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:PETOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:ATTY
Authorized Official - Phone:818-691-3346
Mailing Address - Street 1:11755 VICTORY BLVD
Mailing Address - Street 2:STE. 103
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3423
Mailing Address - Country:US
Mailing Address - Phone:818-691-3346
Mailing Address - Fax:818-691-3348
Practice Address - Street 1:11755 VICTORY BLVD
Practice Address - Street 2:STE. 103
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3423
Practice Address - Country:US
Practice Address - Phone:818-691-3346
Practice Address - Fax:818-691-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based