Provider Demographics
NPI:1669058962
Name:NIAGARA HOSPICE INC.
Entity type:Organization
Organization Name:NIAGARA HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHAGN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAROYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-963-6338
Mailing Address - Street 1:6308 WOODMAN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2374
Mailing Address - Country:US
Mailing Address - Phone:323-963-6338
Mailing Address - Fax:323-963-6338
Practice Address - Street 1:6308 WOODMAN AVE STE 110
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2374
Practice Address - Country:US
Practice Address - Phone:323-963-6338
Practice Address - Fax:323-963-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based