Provider Demographics
NPI:1861248049
Name:KEYSTONE HOSPICE CARE
Entity type:Organization
Organization Name:KEYSTONE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OVSEPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:818-660-9831
Mailing Address - Street 1:25350 MAGIC MOUNTAIN PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1356
Mailing Address - Country:US
Mailing Address - Phone:818-660-9831
Mailing Address - Fax:
Practice Address - Street 1:25350 MAGIC MOUNTAIN PKWY STE 300
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-1356
Practice Address - Country:US
Practice Address - Phone:818-660-9831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based