Provider Demographics
NPI:1659168037
Name:ALTARA HOSPICE
Entity type:Organization
Organization Name:ALTARA HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-840-8400
Mailing Address - Street 1:3060 MARIPOSA ST., SUITE 109
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721
Mailing Address - Country:US
Mailing Address - Phone:559-840-8400
Mailing Address - Fax:559-800-8404
Practice Address - Street 1:3060 MARIPOSA ST., SUITE 109
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721
Practice Address - Country:US
Practice Address - Phone:559-840-8400
Practice Address - Fax:559-800-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based