Provider Demographics
NPI:1053924720
Name:TRUSTED ANGELS HOSPICE INC
Entity type:Organization
Organization Name:TRUSTED ANGELS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKSUDYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-633-8919
Mailing Address - Street 1:13615 VICTORY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1763
Mailing Address - Country:US
Mailing Address - Phone:818-275-8052
Mailing Address - Fax:
Practice Address - Street 1:13615 VICTORY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1763
Practice Address - Country:US
Practice Address - Phone:818-275-8052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based