Provider Demographics
NPI:1730796855
Name:TRUSTED CARE HOSPICE, INC
Entity type:Organization
Organization Name:TRUSTED CARE HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANUSHAK
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:AGAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-681-8186
Mailing Address - Street 1:1621 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1233
Mailing Address - Country:US
Mailing Address - Phone:818-681-8186
Mailing Address - Fax:
Practice Address - Street 1:9671 SUNLAND BLVD # 2B
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-1450
Practice Address - Country:US
Practice Address - Phone:818-681-8186
Practice Address - Fax:818-301-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based