=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386057685
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIGMA HOSPICE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2014
-----------------------------------------------------
Last Update Date | 07/23/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6742 VAN NUYS BLVD SUITE 203
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91405-4641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-826-2292
-----------------------------------------------------
Fax | 818-826-2221
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6742 VAN NUYS BLVD SUITE 203
-----------------------------------------------------
City | VAN NUYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91405-4641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-826-2292
-----------------------------------------------------
Fax | 818-826-2221
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | HEGINA TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-826-2292
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------