Healthcare Provider Details

I. General information

NPI: 1750996906
Provider Name (Legal Business Name): HOSPICE OF 1ST CHOICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 VAN NUYS BLVD UNIT 15
VAN NUYS CA
91405-1958
US

IV. Provider business mailing address

7311 VAN NUYS BLVD UNIT 15
VAN NUYS CA
91405-1958
US

V. Phone/Fax

Practice location:
  • Phone: 747-205-1377
  • Fax: 818-241-5859
Mailing address:
  • Phone: 747-205-1377
  • Fax: 818-241-5859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. ARTUR GRIGORYAN
Title or Position: MANAGER
Credential:
Phone: 747-205-1377