| Organization Name: | LONGEVITY HOSPICE CARE SERVICES, INC. |
| NPI Number: | 1033517610 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HASMIK AGHAJANYAN (PRESIDENT/CEO) |
| Mailing Address: | 229 N Central Ave Ste 607 Glendale |
| State: | CA US |
| Postal Code: | 912033507 |
| Phone Number: | 3237702222 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2014 |
| NPI Last Update Date: | 12/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |