Provider Demographics
NPI:1811552458
Name:SAMA HOSPICE, INC.
Entity Type:Organization
Organization Name:SAMA HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-442-5948
Mailing Address - Street 1:10545 BURBANK BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2245
Mailing Address - Country:US
Mailing Address - Phone:818-442-5948
Mailing Address - Fax:818-936-0880
Practice Address - Street 1:10545 BURBANK BLVD STE 120
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2245
Practice Address - Country:US
Practice Address - Phone:818-442-5948
Practice Address - Fax:818-936-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health