GOOD FELLOWS HOSPICE SERVICES INC NPI 1407479132

NPI Information

NPI: 1407479132
Provider Name: GOOD FELLOWS HOSPICE SERVICES INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2220752

Address:
1555 N VERDUGO RD STE 202
GLENDALE, CA
ZIP 91208
Phone: (818) 484-8722
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GOOD FELLOWS HOSPICE SERVICES INC is a hospice care community based in Glendale, CA. GOOD FELLOWS HOSPICE SERVICES INC NPI is 1407479132. The provider is registered as an organization entity type.

The provider's business location address is:

1555 N VERDUGO RD STE 202
GLENDALE, CA
ZIP 91208-208
Phone: (818) 484-8722
Fax: (818) 484-8723

The provider's authorized official is Anna Abelyan .
The authorized official title is Ceo and has the following contact phone number (818) 484-8722.

The CLIA number assigned to this NPI record is 05D2220752 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2020 and was last updated on 5/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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