Organization Name: | MILLENNIUM HOSPICE CARE, INC. |
NPI Number: | 1144640715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHOT ESAHAKYAN (CEO/ADMINISTRATOR) |
Mailing Address: | 2626 Foothill Blvd Suite 255 La Crescenta |
State: | CA US |
Postal Code: | 912143569 |
Phone Number: | 8182498200 |
Fax Number: | 8182498202 |
NPI Enumeration Date: | 04/23/2014 |
NPI Last Update Date: | 04/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |