MEDICARE: SYNERGY CARE 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	:	1326621004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY CARE HOSPICE INC

Provider Business Mailing Address
First Line	:	9550 WARNER AVE STE 250-12
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-2800
Country	:	US
Telephone Number	:	714-593-2312
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 WARNER AVE STE 250-12
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-2800
Country	:	US
Telephone Number	:	714-593-2312
Fax Number	:

Authorized Official
Title or Position	:	CFO/ ADMINISTRATOR DESIGNEE
Name	:	MR. RHANIE SANTIAGO
Credential	:
Telephone Number	:	714-389-8379

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	06/21/2021

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