Provider Demographics
NPI:1144995952
Name:NEXTGEN HOSPICE CARE
Entity type:Organization
Organization Name:NEXTGEN HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NURITSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-284-4852
Mailing Address - Street 1:1810 W BURBANK BLVD # 150D
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1315
Mailing Address - Country:US
Mailing Address - Phone:818-284-4852
Mailing Address - Fax:
Practice Address - Street 1:1810 W BURBANK BLVD # 150D
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1315
Practice Address - Country:US
Practice Address - Phone:818-284-4852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based