Provider Demographics
NPI:1548861883
Name:VIVENDI HOSPICE CARE INC
Entity type:Organization
Organization Name:VIVENDI HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-632-3550
Mailing Address - Street 1:105 W ALAMEDA AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2254
Mailing Address - Country:US
Mailing Address - Phone:818-632-3550
Mailing Address - Fax:818-550-6696
Practice Address - Street 1:105 W ALAMEDA AVE STE 205
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2254
Practice Address - Country:US
Practice Address - Phone:818-632-3550
Practice Address - Fax:818-550-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based