MEDICARE: SLL HOSPICE CARE 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	:	1780274555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLL HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	12444 VICTORY BLVD STE 200
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3113
Country	:	US
Telephone Number	:	818-369-6329
Fax Number	:	818-806-6199

Provider Business Practice Location Address
First Line	:	12444 VICTORY BLVD STE 200
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3113
Country	:	US
Telephone Number	:	818-369-6329
Fax Number	:	818-806-6199

Authorized Official
Title or Position	:	CEO
Name	:	LERNO HARUTYUNYAN
Credential	:
Telephone Number	:	818-369-6329

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	09/03/2024

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