Healthcare Provider Details

I. General information

NPI: 1881209039
Provider Name (Legal Business Name): HOSPICE OF LOVE AND CARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18344 OXNARD ST STE 208
TARZANA CA
91356-6777
US

IV. Provider business mailing address

18344 OXNARD ST STE 208
TARZANA CA
91356-6777
US

V. Phone/Fax

Practice location:
  • Phone: 818-900-3433
  • Fax:
Mailing address:
  • Phone: 818-900-3433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: ANZHELA ELMEZYAN
Title or Position: PRESIDENT
Credential:
Phone: 310-666-2392