Provider Demographics
NPI:1821396763
Name:GUIDING LIGHT HOSPICE, INC.
Entity type:Organization
Organization Name:GUIDING LIGHT HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHAGN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURGUTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-765-9000
Mailing Address - Street 1:7200 VINELAND AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-5077
Mailing Address - Country:US
Mailing Address - Phone:818-765-9000
Mailing Address - Fax:818-765-9001
Practice Address - Street 1:7200 VINELAND AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-5077
Practice Address - Country:US
Practice Address - Phone:818-765-9000
Practice Address - Fax:818-765-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551789Medicare Oscar/Certification