MEDICARE: CARING 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	Hospice Care, Community Based	0002782390-0301-9	CA

General Provider Information

NPI Number	:	1235534959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HOSPICE INC.

Provider Business Mailing Address
First Line	:	3029 N SAN FERNANDO BLVD
Second Line	:	SUITE 110
City	:	BURBANK
State	:	CA
Zip	:	91504-4704
Country	:	US
Telephone Number	:	818-561-4353
Fax Number	:	818-561-4729

Provider Business Practice Location Address
First Line	:	3029 N SAN FERNANDO BLVD
Second Line	:	SUITE 110
City	:	BURBANK
State	:	CA
Zip	:	91504-4704
Country	:	US
Telephone Number	:	818-561-4353
Fax Number	:	818-561-4729

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. GEVORK KESHISHYAN
Credential	:
Telephone Number	:	818-561-4353

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	10/23/2014

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