Provider Demographics
NPI:1205424793
Name:SAINT OLIVIA HOSPICE CARE INC
Entity type:Organization
Organization Name:SAINT OLIVIA HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAROUKHIANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-765-9548
Mailing Address - Street 1:2500 E FOOTHILL BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3473
Mailing Address - Country:US
Mailing Address - Phone:626-765-9548
Mailing Address - Fax:626-765-9549
Practice Address - Street 1:2500 E FOOTHILL BLVD STE 510
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3473
Practice Address - Country:US
Practice Address - Phone:626-765-9548
Practice Address - Fax:626-765-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based