Provider Demographics
NPI:1144640715
Name:MILLENNIUM HOSPICE CARE, INC.
Entity type:Organization
Organization Name:MILLENNIUM HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHOT
Authorized Official - Middle Name:
Authorized Official - Last Name:ESAHAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-249-8200
Mailing Address - Street 1:2626 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3569
Mailing Address - Country:US
Mailing Address - Phone:818-249-8200
Mailing Address - Fax:818-249-8202
Practice Address - Street 1:2626 FOOTHILL BLVD
Practice Address - Street 2:SUITE 255
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3569
Practice Address - Country:US
Practice Address - Phone:818-249-8200
Practice Address - Fax:818-249-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based