Provider Demographics
NPI:1558995654
Name:A CHOICE HOSPICE CORP
Entity type:Organization
Organization Name:A CHOICE HOSPICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISITNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEDRAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-987-1096
Mailing Address - Street 1:6621 VAN NUYS BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4673
Mailing Address - Country:US
Mailing Address - Phone:818-987-1096
Mailing Address - Fax:
Practice Address - Street 1:6621 VAN NUYS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4673
Practice Address - Country:US
Practice Address - Phone:818-987-1096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based