MEDICARE: GLOBAL HOME HOSPICE SERVICE, INCORPORATED

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	:	1265858625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL HOME HOSPICE SERVICE, INCORPORATED

Provider Business Mailing Address
First Line	:	221 N SAN DIMAS AVE STE A
Second Line	:
City	:	SAN DIMAS
State	:	CA
Zip	:	91773-2664
Country	:	US
Telephone Number	:	626-699-2426
Fax Number	:	626-699-2431

Provider Business Practice Location Address
First Line	:	221 N SAN DIMAS AVE STE A
Second Line	:
City	:	SAN DIMAS
State	:	CA
Zip	:	91773-2664
Country	:	US
Telephone Number	:	626-699-2426
Fax Number	:	626-699-2431

Authorized Official
Title or Position	:	CEO
Name	:	DARLA DRENDEL
Credential	:
Telephone Number	:	626-699-2426

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	08/11/2020

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