Healthcare Provider Details

I. General information

NPI: 1326641093
Provider Name (Legal Business Name): VALLEY STAR HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 W COLORADO ST STE 102
GLENDALE CA
91204-4812
US

IV. Provider business mailing address

440 W COLORADO ST STE 102
GLENDALE CA
91204-4812
US

V. Phone/Fax

Practice location:
  • Phone: 818-369-7987
  • Fax: 818-369-7986
Mailing address:
  • Phone: 818-369-7987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SASUN YEGOYAN
Title or Position: CEO
Credential:
Phone: 818-369-7987