MEDICARE: FAITH & LIFE HOSPICE 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	:	1013401959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH & LIFE HOSPICE INC

Provider Business Mailing Address
First Line	:	356 W COLORADO ST STE C
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1603
Country	:	US
Telephone Number	:	818-918-1589
Fax Number	:	323-417-4707

Provider Business Practice Location Address
First Line	:	356 W COLORADO ST STE C
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1603
Country	:	US
Telephone Number	:	818-918-1589
Fax Number	:	323-417-4707

Authorized Official
Title or Position	:	CEO
Name	:	VAHIK VARTOOMIAN
Credential	:
Telephone Number	:	818-918-1589

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	06/23/2020

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Directions to “FAITH & LIFE HOSPICE INC ” Practice Location

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