MEDICARE: JUVAN HOSPICE AND PALLIATIVE CARE

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	:	1063989028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUVAN HOSPICE AND PALLIATIVE CARE

Provider Business Mailing Address
First Line	:	7111 GARDEN GROVE BLVD.
Second Line	:	SUITE 227
City	:	GARDEN GROVE
State	:	CA
Zip	:	92841-4296
Country	:	US
Telephone Number	:	657-334-7146
Fax Number	:	657-334-7147

Provider Business Practice Location Address
First Line	:	7111 GARDEN GROVE BLVD.
Second Line	:	SUITE 227
City	:	GARDEN GROVE
State	:	CA
Zip	:	92841-4296
Country	:	US
Telephone Number	:	657-465-5335
Fax Number	:	657-334-7147

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	JANET H NGUYEN
Credential	:	BSN RN
Telephone Number	:	657-334-7146

Provider Enumeration Date	:	10/29/2018
Last Update Date	:	03/21/2023

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