Provider Demographics
NPI:1265972186
Name:MED GROUP HOSPICE CARE INC
Entity type:Organization
Organization Name:MED GROUP HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:818-358-3811
Mailing Address - Street 1:10523 BURBANK BLVD.
Mailing Address - Street 2:SUITE 124
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2236
Mailing Address - Country:US
Mailing Address - Phone:818-358-3811
Mailing Address - Fax:818-358-3860
Practice Address - Street 1:10523 BURBANK BLVD.
Practice Address - Street 2:SUITE 124
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2236
Practice Address - Country:US
Practice Address - Phone:818-358-3811
Practice Address - Fax:818-358-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based