Provider Demographics
NPI:1609288851
Name:SAINT LUCY INC
Entity Type:Organization
Organization Name:SAINT LUCY INC
Other - Org Name:SAINT LUCY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-396-0801
Mailing Address - Street 1:6749 SAN FERNANDO RD STE C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-5253
Mailing Address - Country:US
Mailing Address - Phone:818-396-0801
Mailing Address - Fax:818-396-0811
Practice Address - Street 1:6749 SAN FERNANDO RD STE C
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-5253
Practice Address - Country:US
Practice Address - Phone:818-396-0801
Practice Address - Fax:818-396-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based