Provider Demographics
NPI:1902488042
Name:CHIBURASHKA HOSPICE CARE INC
Entity Type:Organization
Organization Name:CHIBURASHKA HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ARUSYAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-300-0788
Mailing Address - Street 1:11814 SHELDON ST STE L
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-1512
Mailing Address - Country:US
Mailing Address - Phone:747-300-0788
Mailing Address - Fax:747-300-0789
Practice Address - Street 1:11814 SHELDON ST STE L
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-1512
Practice Address - Country:US
Practice Address - Phone:747-300-0788
Practice Address - Fax:747-300-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based