=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952717480
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A-1 HOSPICE CARE CENTER 4 U, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2014
-----------------------------------------------------
Last Update Date | 06/13/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6345 BALBOA BLVD SUITE #168
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91316
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-658-3525
-----------------------------------------------------
Fax | 818-574-6723
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6345 BALBOA BLVD SUITE #168
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91316
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-658-3525
-----------------------------------------------------
Fax | 818-574-6723
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | GOHAR SHASHIKYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-658-3525
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------