Provider Demographics
NPI:1528660933
Name:SHAID HOSPICE, INC
Entity type:Organization
Organization Name:SHAID HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KANATARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-308-7772
Mailing Address - Street 1:12501 CHANDLER BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1959
Mailing Address - Country:US
Mailing Address - Phone:818-308-7772
Mailing Address - Fax:
Practice Address - Street 1:12501 CHANDLER BLVD STE 103
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1959
Practice Address - Country:US
Practice Address - Phone:818-308-7772
Practice Address - Fax:818-301-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based