Provider Demographics
NPI:1790062271
Name:SAS HOSPICE, INC.
Entity Type:Organization
Organization Name:SAS HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHISHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-762-8200
Mailing Address - Street 1:12521 OXNARD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4416
Mailing Address - Country:US
Mailing Address - Phone:818-762-8200
Mailing Address - Fax:818-763-8300
Practice Address - Street 1:12521 OXNARD ST
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4416
Practice Address - Country:US
Practice Address - Phone:818-762-8200
Practice Address - Fax:818-763-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health