Provider Demographics
NPI:1023358330
Name:SAINT MONTSERRAT HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:SAINT MONTSERRAT HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GOR
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-567-6520
Mailing Address - Street 1:523 N GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1123
Mailing Address - Country:US
Mailing Address - Phone:818-567-6520
Mailing Address - Fax:818-567-6522
Practice Address - Street 1:523 N GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1123
Practice Address - Country:US
Practice Address - Phone:818-567-6520
Practice Address - Fax:818-567-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based