MEDICARE: APGUARD HOSPICE, LLC

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	:	1386208379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APGUARD HOSPICE, LLC

Provider Business Mailing Address
First Line	:	6404A INDEPENDENCE AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2607
Country	:	US
Telephone Number	:	424-271-2522
Fax Number	:

Provider Business Practice Location Address
First Line	:	6404A INDEPENDENCE AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2607
Country	:	US
Telephone Number	:	424-271-2522
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	HELEN AUDISH
Credential	:
Telephone Number	:	424-271-2522

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	05/07/2019

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Directions to “APGUARD HOSPICE, LLC ” Practice Location

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