MEDICARE: TOUCH OF HOPE HOSPICE 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	:	1235746942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCH OF HOPE HOSPICE INC

Provider Business Mailing Address
First Line	:	5311 TOPANGA CANYON BLVD # 306
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1754
Country	:	US
Telephone Number	:	747-242-1135
Fax Number	:	323-967-0729

Provider Business Practice Location Address
First Line	:	5311 TOPANGA CANYON BLVD # 306
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1754
Country	:	US
Telephone Number	:	747-242-1135
Fax Number	:	323-967-0729

Authorized Official
Title or Position	:	CEO
Name	:	MR. GRIGOR GARY SIMONYAN
Credential	:
Telephone Number	:	747-242-1135

Provider Enumeration Date	:	09/27/2020
Last Update Date	:	09/27/2020

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