Provider Demographics
NPI:1790151652
Name:SANTA MARIA HOSPICE,INC.
Entity Type:Organization
Organization Name:SANTA MARIA HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT PERSON
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KHRIMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-939-2814
Mailing Address - Street 1:222 CARMEN LN STE 206
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7777
Mailing Address - Country:US
Mailing Address - Phone:805-361-0264
Mailing Address - Fax:805-361-0278
Practice Address - Street 1:222 CARMEN LN STE 206
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-7777
Practice Address - Country:US
Practice Address - Phone:805-361-0264
Practice Address - Fax:805-361-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based