Provider Demographics
NPI:1255082111
Name:SAINT CARE HOSPICE INC
Entity type:Organization
Organization Name:SAINT CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AVAGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-804-9971
Mailing Address - Street 1:8951 CYPRESS WATERS BLVD STE 1056
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4661
Mailing Address - Country:US
Mailing Address - Phone:323-804-9971
Mailing Address - Fax:
Practice Address - Street 1:8951 CYPRESS WATERS BLVD STE 1056
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4661
Practice Address - Country:US
Practice Address - Phone:323-804-9971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based