Organization
BVA HOSPICE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARTINEZ (CEO)
(818) 550-9950
Entity
Organization
Contact information
Practice address
315 ARDEN AVE SUITE 25, GLENDALE, CA 91203-3150
(818) 550-9950
(818) 550-9953
Mailing address
315 ARDEN AVE SUITE 25, GLENDALE, CA 91203-3150
(818) 550-9950
(818) 550-9953
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751707
MEDICARE CCN
—
Enumeration date
09/03/2013
Last updated
11/03/2016
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