MEDICARE: HOLLYWOOD HEALTH SERVICES 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	251E00000X	Home Health Agency	550000435	CA

General Provider Information

NPI Number	:	1023130432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLYWOOD HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	4312 WOODMAN AVE STE 201
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-5526
Country	:	US
Telephone Number	:	818-305-6998
Fax Number	:	818-975-5311

Provider Business Practice Location Address
First Line	:	4312 WOODMAN AVE STE 201
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-5526
Country	:	US
Telephone Number	:	818-305-6998
Fax Number	:	818-975-5311

Authorized Official
Title or Position	:	CEO
Name	:	JULIE S GRAND
Credential	:
Telephone Number	:	818-521-1418

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	02/11/2026

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Directions to “HOLLYWOOD HEALTH SERVICES INC. ” Practice Location

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