Provider Demographics
NPI:1144951286
Name:COMMUNITY CARE HOSPICE INC
Entity type:Organization
Organization Name:COMMUNITY CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-286-6533
Mailing Address - Street 1:13201 N 35TH AVE STE B4-10
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-1222
Mailing Address - Country:US
Mailing Address - Phone:747-286-6533
Mailing Address - Fax:747-286-6534
Practice Address - Street 1:13201 N 35TH AVE STE B4-10
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1222
Practice Address - Country:US
Practice Address - Phone:747-286-6533
Practice Address - Fax:747-286-6534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based