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NPI Code Detail

MEDICARE: OPEN HEART HOSPICE, INC

MEDICARE: OPEN HEART 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1023606357
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN HEART HOSPICE, INC
Provider Business Mailing Address
First Line : 30495 CANWOOD ST STE 209
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-4331
Country : US
Telephone Number : 747-777-3033
Fax Number : 747-239-6866
Provider Business Practice Location Address
First Line : 30495 CANWOOD ST STE 209
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-4331
Country : US
Telephone Number : 747-777-3033
Fax Number : 747-239-6866
Authorized Official
Title or Position : PRESIDENT
Name : TIGRAN ABGARYAN
Credential :
Telephone Number : 747-777-3033
Provider Enumeration Date : 01/03/2021
Last Update Date : 01/03/2021

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Directions to “OPEN HEART HOSPICE, INC ” Practice Location

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