Provider Demographics
NPI:1609270065
Name:GOOD SAMARITAN HOSPICE AND PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:GOOD SAMARITAN HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRZOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-507-4745
Mailing Address - Street 1:725 S GLENDALE AVE
Mailing Address - Street 2:STE M
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2395
Mailing Address - Country:US
Mailing Address - Phone:818-507-4745
Mailing Address - Fax:818-334-6168
Practice Address - Street 1:725 S GLENDALE AVE
Practice Address - Street 2:STE M
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2395
Practice Address - Country:US
Practice Address - Phone:818-507-4745
Practice Address - Fax:818-334-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based