Healthcare Provider Details
I. General information
NPI: 1174897771
Provider Name (Legal Business Name): DEDICATED HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2012
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14542 VENTURA BLVD SUITE 202
SHERMAN OAKS CA
91423-5512
US
IV. Provider business mailing address
14542 VENTURA BLVD SUITE 202
SHERMAN OAKS CA
91403-5512
US
V. Phone/Fax
- Phone: 818-986-1269
- Fax: 818-986-2531
- Phone: 818-986-1269
- Fax: 818-986-2531
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
HAIKUHE
CHICHYAN
Title or Position: CEO
Credential:
Phone: 818-488-1265