MEDICARE: DEFINITE COMFORT CARE 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	:	1033783022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEFINITE COMFORT CARE HOSPICE INC

Provider Business Mailing Address
First Line	:	6005 VINELAND AVE STE 203
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4984
Country	:	US
Telephone Number	:	818-485-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 VINELAND AVE STE 203
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4984
Country	:	US
Telephone Number	:	818-485-2299
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	OGANES KNADZHYAN
Credential	:
Telephone Number	:	818-485-2299

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/17/2021

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