MEDICARE: LIVING STONES HOSPICE CARE LLC

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	:	1154978559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING STONES HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	75108 GERALD FORD DR STE 3
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6802
Country	:	US
Telephone Number	:	760-898-4308
Fax Number	:

Provider Business Practice Location Address
First Line	:	75108 GERALD FORD DR STE 3
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6802
Country	:	US
Telephone Number	:	760-898-4308
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW MCMURPHY
Credential	:
Telephone Number	:	214-929-9580

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	01/08/2025

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