Provider Demographics
NPI:1346863578
Name:SAINT ANNA HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SAINT ANNA HEALTHCARE, INC.
Other - Org Name:SAINT ANNA HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AREG
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROSTOMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-858-9753
Mailing Address - Street 1:124 W STOCKER ST STE A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3076
Mailing Address - Country:US
Mailing Address - Phone:818-484-8534
Mailing Address - Fax:818-484-8374
Practice Address - Street 1:124 W STOCKER ST STE A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3076
Practice Address - Country:US
Practice Address - Phone:818-484-8534
Practice Address - Fax:818-484-8374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health