Provider Demographics
NPI:1053715011
Name:ALLSTATE CARE HOSPICE INC.
Entity type:Organization
Organization Name:ALLSTATE CARE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-687-0007
Mailing Address - Street 1:5301 LAUREL CANYON BLVD STE 136
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2778
Mailing Address - Country:US
Mailing Address - Phone:818-505-8266
Mailing Address - Fax:818-465-4628
Practice Address - Street 1:8285 W. SUNSET BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-2420
Practice Address - Country:US
Practice Address - Phone:818-505-8266
Practice Address - Fax:818-465-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based