MEDICARE: AMARI HOSPICE CARE 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	:	1043841612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMARI HOSPICE CARE INC.

Provider Business Mailing Address
First Line	:	6720 FAIR OAKS BLVD STE 100
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-3826
Country	:	US
Telephone Number	:	916-993-9679
Fax Number	:	916-550-0876

Provider Business Practice Location Address
First Line	:	6720 FAIR OAKS BLVD STE 100
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-3826
Country	:	US
Telephone Number	:	916-993-9679
Fax Number	:	916-550-0876

Authorized Official
Title or Position	:	CEO
Name	:	LYUBOV KARAPETYAN
Credential	:
Telephone Number	:	916-993-9679

Provider Enumeration Date	:	01/31/2020
Last Update Date	:	05/14/2021

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