Provider Demographics
NPI:1619575123
Name:ST FRANCIS HOSPICE INC
Entity Type:Organization
Organization Name:ST FRANCIS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEVAZEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-464-2803
Mailing Address - Street 1:17110 DONMETZ ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-4121
Mailing Address - Country:US
Mailing Address - Phone:310-464-2803
Mailing Address - Fax:310-861-0533
Practice Address - Street 1:14545 FRIAR ST # 298
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2397
Practice Address - Country:US
Practice Address - Phone:310-464-2803
Practice Address - Fax:310-861-0533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty