# GREEN WAY HOSPICE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134747223
- **Authorized official:** LUSINE REVAZYAN (CEO/OWNER)
- **Authorized official phone:** (818) 660-9109

## Contact information

- **Practice address:** 7630 VINELAND AVE STE 210A, SUN VALLEY, CA 91352-4535
- **Practice address phone:** (818) 660-9109
- **Practice address fax:** (714) 495-4082
- **Mailing address:** 7630 VINELAND AVE STE 210A, SUN VALLEY, CA 91352-4535
- **Mailing address phone:** (818) 660-9109
- **Mailing address fax:** (714) 495-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2020
- **Last updated:** 07/06/2020