Provider Demographics
NPI:1447666995
Name:ST VINCENT HOSPICE SERVICES, INC
Entity type:Organization
Organization Name:ST VINCENT HOSPICE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-821-7772
Mailing Address - Street 1:420 S ROSEMEAD BLVD
Mailing Address - Street 2:SUITE D-E
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4980
Mailing Address - Country:US
Mailing Address - Phone:626-796-1922
Mailing Address - Fax:
Practice Address - Street 1:420 S ROSEMEAD BLVD
Practice Address - Street 2:SUITE D-E
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4980
Practice Address - Country:US
Practice Address - Phone:626-796-1922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-05
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based