Provider Demographics
NPI:1720557333
Name:SAINT LUKA HOSPICE, INC.
Entity Type:Organization
Organization Name:SAINT LUKA HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILFYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-960-7272
Mailing Address - Street 1:517 E WILSON AVE STE 103B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4376
Mailing Address - Country:US
Mailing Address - Phone:818-960-7272
Mailing Address - Fax:818-960-7277
Practice Address - Street 1:517 E WILSON AVE STE 103B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4376
Practice Address - Country:US
Practice Address - Phone:818-960-7272
Practice Address - Fax:818-960-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based