MEDICARE: BRIGHTWAY HOSPICE CARE

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	:	1477120400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTWAY HOSPICE CARE

Provider Business Mailing Address
First Line	:	21214 COSTANSO ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2034
Country	:	US
Telephone Number	:	818-914-4353
Fax Number	:	818-914-4551

Provider Business Practice Location Address
First Line	:	21214 COSTANSO ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2034
Country	:	US
Telephone Number	:	818-914-4353
Fax Number	:	818-914-4551

Authorized Official
Title or Position	:	CEO
Name	:	ARMAN MURADYAN
Credential	:
Telephone Number	:	818-914-4353

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/08/2021

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Directions to “BRIGHTWAY HOSPICE CARE ” Practice Location

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