MEDICARE: HOLLYWOOD HOSPICE AND 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	:	1134797541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLYWOOD HOSPICE AND PALLIATIVE CARE, INC.

Provider Business Mailing Address
First Line	:	6438 1/2 BELLINGHAM AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606
Country	:	US
Telephone Number	:	818-401-9949
Fax Number	:	818-401-9948

Provider Business Practice Location Address
First Line	:	6438 1/2 BELLINGHAM AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-0000
Country	:	US
Telephone Number	:	818-401-9949
Fax Number	:	818-401-9948

Authorized Official
Title or Position	:	CEO
Name	:	ARTHUR MSRIAN
Credential	:
Telephone Number	:	818-401-9949

Provider Enumeration Date	:	06/12/2021
Last Update Date	:	06/12/2021

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