MEDICARE: SANCTUARY PALLIATIVE CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1346814084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANCTUARY PALLIATIVE CARE INC

Provider Business Mailing Address
First Line	:	116 E BROADWAY STE 202
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1093
Country	:	US
Telephone Number	:	818-396-5132
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 E BROADWAY STE 202
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1093
Country	:	US
Telephone Number	:	818-396-5132
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ASHOT VARDUMYAN
Credential	:
Telephone Number	:	818-396-5132

Provider Enumeration Date	:	05/17/2021
Last Update Date	:	05/17/2021

Similar Medicare Providers

1407651169 — ELMIRA RECUPERATIVE CARE LLC
Practice Location Address:

116 E BROADWAY STE 202
GLENDALE, CA
91205-1093

Practice Phone: 818-823-7991
Practice Fax:

1124825112 — MR. EMIL AGHAKIAN
Practice Location Address:

116 E BROADWAY STE 202
GLENDALE, CA
91205-1093

Practice Phone: 818-823-7991
Practice Fax:

1568307411 — ANTIGONE BRADDOCK
Practice Location Address:

501 E ACACIA AVE
GLENDALE, CA
91205-2823

Practice Phone: 818-246-2421
Practice Fax:

1386589299 — MRS. REZINKA AYALA
Practice Location Address:

1440 E BROADWAY
GLENDALE, CA
91205-1598

Practice Phone: 818-242-3161
Practice Fax:

1740125939 — IVANA MAURIES
Practice Location Address:

501 E ACACIA AVE
GLENDALE, CA
91205-2823

Practice Phone: 818-246-2421
Practice Fax:

1255277000 — XCLUSIVE HEALTH MEDICAL GROUP
Practice Location Address:

801 S CHEVY CHASE DR STE 100
GLENDALE, CA
91205-4437

Practice Phone: 310-933-9779
Practice Fax:

Directions to “SANCTUARY PALLIATIVE CARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.