MEDICARE: TOP ONE PALLIATIVE AND 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	:	1245834894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP ONE PALLIATIVE AND HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	9608 VAN NUYS BLVD STE 207A
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-1043
Country	:	US
Telephone Number	:	818-810-8349
Fax Number	:	213-246-2184

Provider Business Practice Location Address
First Line	:	9608 VAN NUYS BLVD STE 207A
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-1043
Country	:	US
Telephone Number	:	818-810-8349
Fax Number	:	213-246-2184

Authorized Official
Title or Position	:	CEO/CFO/SEC.
Name	:	MS. CHRISTINE ANTONIO
Credential	:
Telephone Number	:	818-810-8349

Provider Enumeration Date	:	11/24/2020
Last Update Date	:	11/24/2020

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