MEDICARE: PROPER CARE PALLIATIVE & HOSPICE

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	:	1144868712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROPER CARE PALLIATIVE & HOSPICE

Provider Business Mailing Address
First Line	:	828 E COLORADO ST STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4519
Country	:	US
Telephone Number	:	818-484-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 E COLORADO ST STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4519
Country	:	US
Telephone Number	:	818-484-7812
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARTASH MIRZOYAN
Credential	:
Telephone Number	:	818-484-7812

Provider Enumeration Date	:	12/14/2019
Last Update Date	:	12/14/2019

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