Healthcare Provider Details

I. General information

NPI: 1609457126
Provider Name (Legal Business Name): XTRA CARING HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4881 TOPANGA CANYON BLVD STE 201
WOODLAND HILLS CA
91364-4231
US

IV. Provider business mailing address

4881 TOPANGA CANYON BLVD STE 201
WOODLAND HILLS CA
91364-4231
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-0022
  • Fax:
Mailing address:
  • Phone: 818-697-0022
  • 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: NAIRA HOVHANNISYAN
Title or Position: CEO
Credential:
Phone: 818-697-0022