Provider Demographics
NPI:1982929774
Name:SAN ANTONIO HOSPICE, INC.
Entity type:Organization
Organization Name:SAN ANTONIO HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-395-4016
Mailing Address - Street 1:419 W COLORADO ST STE B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-3042
Mailing Address - Country:US
Mailing Address - Phone:818-238-9999
Mailing Address - Fax:818-238-9997
Practice Address - Street 1:419 W COLORADO ST STE B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-3042
Practice Address - Country:US
Practice Address - Phone:818-238-9999
Practice Address - Fax:818-238-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based