Provider Demographics
NPI:1871877985
Name:SAINT MARIAM HOSPICE INC
Entity type:Organization
Organization Name:SAINT MARIAM HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEVORK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPETIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-416-5406
Mailing Address - Street 1:606 E GLENOAKS BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1779
Mailing Address - Country:US
Mailing Address - Phone:818-416-5406
Mailing Address - Fax:
Practice Address - Street 1:606 E GLENOAKS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-1779
Practice Address - Country:US
Practice Address - Phone:818-416-5406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based