Provider Demographics
NPI:1992398218
Name:SAINT GREGORY HOSPICE LLC
Entity Type:Organization
Organization Name:SAINT GREGORY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-433-0942
Mailing Address - Street 1:14241 VENTURA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2742
Mailing Address - Country:US
Mailing Address - Phone:323-433-0942
Mailing Address - Fax:323-433-0942
Practice Address - Street 1:14241 VENTURA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2742
Practice Address - Country:US
Practice Address - Phone:323-433-0942
Practice Address - Fax:323-433-0942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based