| Organization Name: | EVERLASTING HOSPICE, INC. |
| NPI Number: | 1205105293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YERVAND TRTATYAN (CEO) |
| Mailing Address: | 7400 Van Nuys Blvd Ste 113b Van Nuys |
| State: | CA US |
| Postal Code: | 914051966 |
| Phone Number: | 8189899545 |
| Fax Number: | 8189899546 |
| NPI Enumeration Date: | 12/20/2011 |
| NPI Last Update Date: | 12/20/2011 |
| 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: | |