Healthcare Provider Details

I. General information

NPI: 1710262522
Provider Name (Legal Business Name): REGAL HOSPICE HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E OLIVE AVE STE 116
BURBANK CA
91502-1849
US

IV. Provider business mailing address

11631 VICTORY BLVD STE 204A
NORTH HOLLYWOOD CA
91606-3572
US

V. Phone/Fax

Practice location:
  • Phone: 818-765-5400
  • Fax:
Mailing address:
  • Phone: 818-765-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: ANNA NSHANYAN
Title or Position: ADMIN
Credential:
Phone: 818-480-0007