NPI Code Details Logo

NPI 1558655985

NPI 1558655985 : SENIOR HOSPICE CARE, INC. : BURBANK, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558655985
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SENIOR HOSPICE CARE, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/02/2011
-----------------------------------------------------
    Last Update Date     |    12/02/2012
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    359 E MAGNOLIA BLVD SUITE C
-----------------------------------------------------
    City                 |    BURBANK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91502-3210
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-843-3593
-----------------------------------------------------
    Fax                  |    818-843-2093
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    359 E MAGNOLIA BLVD SUITE C
-----------------------------------------------------
    City                 |    BURBANK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91502-3210
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-843-3593
-----------------------------------------------------
    Fax                  |    818-843-2093
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     KAREN  CHAGATSBANYAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    818-843-3593
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.