1568700417 NPI number — AMERICAN COMFORT HOSPICE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568700417 NPI number — AMERICAN COMFORT HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN COMFORT HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568700417
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
539 N GLENOAKS BLVD STE 301A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURBANK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91502-3209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-731-1315
Provider Business Mailing Address Fax Number:
818-301-3165

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
539 N GLENOAKS BLVD STE 301A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURBANK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91502-3209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-731-1315
Provider Business Practice Location Address Fax Number:
818-301-3165
Provider Enumeration Date:
01/28/2013

Additional Information

Authorized Official

Authorized Official Last Name:
ZAKARYAN
Authorized Official First Name:
HAKOP
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
818-731-1315

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  550002665 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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