Provider Demographics
NPI:1134836372
Name:ANGELS HEART HOSPICE INC
Entity type:Organization
Organization Name:ANGELS HEART HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-296-5089
Mailing Address - Street 1:722 E OSBORN RD STE 305
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5245
Mailing Address - Country:US
Mailing Address - Phone:602-296-5089
Mailing Address - Fax:602-296-5092
Practice Address - Street 1:722 E OSBORN RD STE 305
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5245
Practice Address - Country:US
Practice Address - Phone:602-296-5089
Practice Address - Fax:602-296-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based