EMMANUEL HOSPICE INC NPI 1831485408

NPI Information

  • NPI: 1831485408
  • Provider Name: EMMANUEL HOSPICE INC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: HOLLYWOOD HOSPICE
  • CLIA Number: 05D2032676
  • Address: 4640 LANKERSHIM BLVD STE 110
    NORTH HOLLYWOOD, CA
    ZIP 91602
  • Phone: (187) 632-7288

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NPI Details

EMMANUEL HOSPICE INC is a hospice care community based in North Hollywood, CA. EMMANUEL HOSPICE INC NPI is 1831485408. The provider is registered as an organization entity type.
The provider Is Doing Business As Hollywood Hospice.

The provider's business location address is:

4640 LANKERSHIM BLVD STE 110
NORTH HOLLYWOOD, CA
ZIP 91602-848
Phone: (187) 632-7288
Fax: (888) 453-0513

The provider's authorized official is Gor Adamyan .
The authorized official title is Ceo and has the following contact phone number (818) 763-2728.

The CLIA number assigned to this NPI record is 05D2032676 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2011 and was last updated on 7/7/2021.

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
1251G00000XHospice Care, Community Based0002563036-0001-3CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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