1831704261 NPI number — BRIGHT PALLIATIVE AND 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 1831704261 NPI number — BRIGHT PALLIATIVE AND HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIGHT PALLIATIVE AND 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:
1831704261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1314 W GLENOAKS BLVD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91201-1978
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
747-344-3433
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1314 W GLENOAKS BLVD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91201-1978
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
747-344-3433
Provider Business Practice Location Address Fax Number:
818-337-7558
Provider Enumeration Date:
09/11/2020

Additional Information

Authorized Official

Authorized Official Last Name:
GEVORGYAN
Authorized Official First Name:
HARUTYUN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/ADMINISTRATOR
Authorized Official Telephone Number:
747-344-3433

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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