=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457933566
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EFFECTIVE HOSPICE CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/27/2021
-----------------------------------------------------
Last Update Date | 04/27/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14547 TITUS ST STE 211
-----------------------------------------------------
City | PANORAMA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91402-7306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-394-1234
-----------------------------------------------------
Fax | 213-402-3614
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14547 TITUS ST STE 211
-----------------------------------------------------
City | PANORAMA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91402-7306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-397-1234
-----------------------------------------------------
Fax | 213-402-3614
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ARMEN VERDYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-397-1234
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------