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General NPI Number Information
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NPI Number | 1558759084
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Entity Type | Organization
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Legal Business Name | VIVANI HOSPICE CARE,INC.
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD STE 206
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City | ENCINO
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State | CA
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Zip | 91436-1923
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Country | US
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Telephone | 877-568-8870
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Fax | 818-301-0272
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Provider Business Mailing Address
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Address Line | 16661 VENTURA BLVD STE 206
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City | ENCINO
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State | CA
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Zip | 91436-1923
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Country | US
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Telephone | 877-568-8870
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Fax | 818-301-0272
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Authorized Official
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Title or Position | CEO
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Name | MRS. MINOO SEDEHIZADEH
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Credential |
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Telephone | 818-658-1780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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