Provider Demographics
NPI:1881269421
Name:SAMS HOSPICE CARE, INC.
Entity type:Organization
Organization Name:SAMS HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-221-8856
Mailing Address - Street 1:707 S BROADWAY STE 1114
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2814
Mailing Address - Country:US
Mailing Address - Phone:213-221-8856
Mailing Address - Fax:213-402-7999
Practice Address - Street 1:707 S BROADWAY STE 1114
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-2814
Practice Address - Country:US
Practice Address - Phone:213-221-8856
Practice Address - Fax:213-402-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based