Provider Demographics
NPI:1255916441
Name:ALL STATE HOSPICE CARE, INC.
Entity type:Organization
Organization Name:ALL STATE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SEC
Authorized Official - Prefix:MRS
Authorized Official - First Name:KNARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-855-9088
Mailing Address - Street 1:45 W EASY ST STE 21
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1610
Mailing Address - Country:US
Mailing Address - Phone:818-855-9088
Mailing Address - Fax:818-855-9098
Practice Address - Street 1:45 W EASY ST STE 21
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1610
Practice Address - Country:US
Practice Address - Phone:818-855-9088
Practice Address - Fax:818-855-9098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based