MEDICARE: GOLDEN ERA HOSPICE

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	:	1326610619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN ERA HOSPICE

Provider Business Mailing Address
First Line	:	10623 BURBANK BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-0000
Country	:	US
Telephone Number	:	818-579-2251
Fax Number	:	818-797-2941

Provider Business Practice Location Address
First Line	:	10623 BURBANK BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-0000
Country	:	US
Telephone Number	:	818-579-2251
Fax Number	:	818-797-2941

Authorized Official
Title or Position	:	CEO
Name	:	KARINE GASPARYAN
Credential	:
Telephone Number	:	818-579-2251

Provider Enumeration Date	:	07/15/2021
Last Update Date	:	07/15/2021

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Directions to “GOLDEN ERA HOSPICE ” Practice Location

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