# FIDELITY HOSPICE, INC.

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

## Provider details

- **NPI number:** 1316285810
- **Authorized official:** INGA HAKHUMYAN CEO (CEO)
- **Authorized official phone:** (805) 520-7600

## Contact information

- **Practice address:** 4225 VALLEY FAIR ST STE 102, SIMI VALLEY, CA 93063-2954
- **Practice address phone:** (805) 520-7600
- **Practice address fax:** (805) 426-8989
- **Mailing address:** 4225 VALLEY FAIR ST., SUITE 102, SIMI VALLEY, CA 93063-4225
- **Mailing address phone:** (805) 520-7600
- **Mailing address fax:** (805) 426-8989

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 01/18/2013