MEDICARE: CARE WITH LOVE 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	:	1316524143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE WITH LOVE HOSPICE INC

Provider Business Mailing Address
First Line	:	127 S BRAND BLVD STE 308
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1388
Country	:	US
Telephone Number	:	818-294-7530
Fax Number	:	818-672-5391

Provider Business Practice Location Address
First Line	:	127 S BRAND BLVD STE 308
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1388
Country	:	US
Telephone Number	:	818-294-7530
Fax Number	:	818-672-5391

Authorized Official
Title or Position	:	CEO
Name	:	MR. ARA ADAMYAN
Credential	:
Telephone Number	:	818-294-7530

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	03/26/2021

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