Provider Demographics
NPI:1588247928
Name:ANGELS LIFE HOSPICE CARE
Entity type:Organization
Organization Name:ANGELS LIFE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOT
Authorized Official - Middle Name:
Authorized Official - Last Name:POGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-600-8995
Mailing Address - Street 1:18455 BURBANK BLVD STE 316
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2803
Mailing Address - Country:US
Mailing Address - Phone:818-600-8995
Mailing Address - Fax:844-273-6484
Practice Address - Street 1:18455 BURBANK BLVD STE 316
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2803
Practice Address - Country:US
Practice Address - Phone:818-600-8995
Practice Address - Fax:844-273-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based