Provider Demographics
NPI:1679169650
Name:NOBLE LIFE HOSPICE INC
Entity type:Organization
Organization Name:NOBLE LIFE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVAKIMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-202-1616
Mailing Address - Street 1:850 COLORADO BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1763
Mailing Address - Country:US
Mailing Address - Phone:747-202-1616
Mailing Address - Fax:747-201-7372
Practice Address - Street 1:217 E ALAMEDA AVE # SUIE208
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1500
Practice Address - Country:US
Practice Address - Phone:747-202-1616
Practice Address - Fax:747-201-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based