Provider Demographics
NPI:1992154637
Name:AAA HOSPICE CARE SERVICES, INC.
Entity type:Organization
Organization Name:AAA HOSPICE CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-218-2787
Mailing Address - Street 1:210 N CENTRAL AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3519
Mailing Address - Country:US
Mailing Address - Phone:888-218-2787
Mailing Address - Fax:818-230-7505
Practice Address - Street 1:210 N CENTRAL AVE
Practice Address - Street 2:STE 110
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3519
Practice Address - Country:US
Practice Address - Phone:888-218-2787
Practice Address - Fax:818-230-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based