Organization Name: | ACTIVE HOSPICE CARE INC. |
NPI Number: | 1326232810 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARAM BASMADJYAN (PRESIDENT) |
Mailing Address: | 704 S Victory Blvd Ste 100 Burbank |
State: | CA US |
Postal Code: | 915022471 |
Phone Number: | 8188488222 |
Fax Number: | 8188488229 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 02/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 550000320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |