| Organization Name: | LIFE TREE HOSPICE, INC |
| NPI Number: | 1790103695 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARTUR GHEVINYAN (CEO/PRESIDENT) |
| Mailing Address: | 21044 Sherman Way Suite 212 Canoga Park |
| State: | CA US |
| Postal Code: | 91303 |
| Phone Number: | 8189927604 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2014 |
| NPI Last Update Date: | 04/24/2015 |
| 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: | |