Provider Demographics
NPI:1427621325
Name:PALM SPRINGS HOSPICE INC
Entity type:Organization
Organization Name:PALM SPRINGS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDUARD
Authorized Official - Middle Name:
Authorized Official - Last Name:POGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-250-5050
Mailing Address - Street 1:63665 19TH AVE # 200
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:63665 19TH AVE # 200
Practice Address - Street 2:
Practice Address - City:NORTH PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92258
Practice Address - Country:US
Practice Address - Phone:323-250-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based