=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225623200
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LA CARE HOSPICE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2021
-----------------------------------------------------
Last Update Date | 09/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 W. ALAMEDA AVE. SUITE 101
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-320-0040
-----------------------------------------------------
Fax | 747-320-0080
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 211 W. ALAMEDA AVE. SUITE 101
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-320-0040
-----------------------------------------------------
Fax | 747-320-0080
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ALBERT ANTANESYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 747-320-0040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------