Provider Demographics
NPI:1982162699
Name:SHAMROCK HOSPICE INC
Entity Type:Organization
Organization Name:SHAMROCK HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AREVIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-658-9555
Mailing Address - Street 1:18455 BURBANK BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6905
Mailing Address - Country:US
Mailing Address - Phone:818-658-9555
Mailing Address - Fax:818-658-9577
Practice Address - Street 1:18455 BURBANK BLVD STE 307
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6905
Practice Address - Country:US
Practice Address - Phone:818-658-9555
Practice Address - Fax:818-658-9577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based