Provider Demographics
NPI:1992445498
Name:SHAHEN HOSPICE CARE SERVICES INC
Entity type:Organization
Organization Name:SHAHEN HOSPICE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURADYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-247-1885
Mailing Address - Street 1:13041 N 35TH AVE STE C11-4
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-1230
Mailing Address - Country:US
Mailing Address - Phone:747-247-1885
Mailing Address - Fax:747-247-1679
Practice Address - Street 1:13041 N 35TH AVE STE C11-4
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1230
Practice Address - Country:US
Practice Address - Phone:747-247-1885
Practice Address - Fax:747-247-1679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based