Provider Demographics
NPI:1588327621
Name:RUBY HOSPICE CARE INC
Entity type:Organization
Organization Name:RUBY HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SVETIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-887-3105
Mailing Address - Street 1:4150 W PEORIA AVE STE B113B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3900
Mailing Address - Country:US
Mailing Address - Phone:602-887-3105
Mailing Address - Fax:480-944-9665
Practice Address - Street 1:4150 W PEORIA AVE STE B113B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3900
Practice Address - Country:US
Practice Address - Phone:602-887-3105
Practice Address - Fax:480-944-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based