FAIRY HOSPICE CARE INC. NPI 1558759597

NPI Information

NPI: 1558759597
Provider Name: FAIRY HOSPICE CARE, INC.

Doing Business As: HOSPICE OF SO-CAL

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
3412 W VICTORY BLVD
BURBANK, CA
ZIP 91505
Phone: (818) 960-5836
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FAIRY HOSPICE CARE, INC. is a hospice care community based in Burbank, CA. FAIRY HOSPICE CARE, INC. NPI is 1558759597. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospice Of So-cal.

The provider's business location address is:

3412 W VICTORY BLVD
BURBANK, CA
ZIP 91505-544
Phone: (818) 960-5836
Fax: (818) 796-2567

The provider's authorized official is Shushan Suzie Yaralyan .
The authorized official title is President/ceo and has the following contact phone number (818) 960-5836.

The CLIA number assigned to this NPI record is 05D2122172 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 12/14/2020.

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

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