Provider Demographics
NPI:1528467818
Name:NNN HOSPICE, INC.
Entity type:Organization
Organization Name:NNN HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOLOTARENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-771-9331
Mailing Address - Street 1:8001 LAUREL CANYON BLVD
Mailing Address - Street 2:STE 207
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1464
Mailing Address - Country:US
Mailing Address - Phone:818-771-9331
Mailing Address - Fax:818-771-9970
Practice Address - Street 1:8001 LAUREL CANYON BLVD
Practice Address - Street 2:STE 207
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1464
Practice Address - Country:US
Practice Address - Phone:818-771-9331
Practice Address - Fax:818-771-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based