MEDICARE: HILLS HOSPICE SERVICES, 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	:	1184082026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLS HOSPICE SERVICES, INC.

Provider Business Mailing Address
First Line	:	9795 CABRINI DR
Second Line	:	STE 201
City	:	BURBANK
State	:	CA
Zip	:	91504-1739
Country	:	US
Telephone Number	:	818-813-4028
Fax Number	:	818-353-5100

Provider Business Practice Location Address
First Line	:	9795 CABRINI DR
Second Line	:	STE 201
City	:	BURBANK
State	:	CA
Zip	:	91504-1739
Country	:	US
Telephone Number	:	818-813-4028
Fax Number	:	818-353-5100

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHRIS MEHRABIAN
Credential	:
Telephone Number	:	818-813-4028

Provider Enumeration Date	:	02/06/2016
Last Update Date	:	02/06/2016

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