MEDICARE: GOODNESS 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	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1245848639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODNESS HOSPICE INC

Provider Business Mailing Address
First Line	:	2377 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2377 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2038
Country	:	US
Telephone Number	:	626-509-5570
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LENA AZARYAN
Credential	:
Telephone Number	:	626-509-5570

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

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Directions to “GOODNESS HOSPICE INC ” Practice Location

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