=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447834296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | H&V HOSPICE CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2021
-----------------------------------------------------
Last Update Date | 05/07/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4711 OAKWOOD AVE STE 209
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90004-2491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-922-2745
-----------------------------------------------------
Fax | 323-922-2744
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4711 OAKWOOD AVE STE 209
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90004-2491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-922-2745
-----------------------------------------------------
Fax | 323-922-2744
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | HAYRAPET HAYRAPETYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 323-922-2745
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------