Provider Demographics
NPI:1407128515
Name:SAINT THERESA HOSPICE, INC
Entity Type:Organization
Organization Name:SAINT THERESA HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SILVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOVSESIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-985-0800
Mailing Address - Street 1:5958 VINELAND AVE
Mailing Address - Street 2:UNIT G
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-1329
Mailing Address - Country:US
Mailing Address - Phone:818-985-0800
Mailing Address - Fax:818-985-0801
Practice Address - Street 1:5958 VINELAND AVE
Practice Address - Street 2:UNIT G
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-1329
Practice Address - Country:US
Practice Address - Phone:818-985-0800
Practice Address - Fax:818-985-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-04
Last Update Date:2012-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based