MEDICARE: HYGEIA 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	:	1386301794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYGEIA HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	350 ARDEN AVE STE 108
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1110
Country	:	US
Telephone Number	:	747-217-8956
Fax Number	:	818-475-1785

Provider Business Practice Location Address
First Line	:	350 ARDEN AVE STE 108
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1110
Country	:	US
Telephone Number	:	747-217-8956
Fax Number	:	818-475-1785

Authorized Official
Title or Position	:	CEO/CFO/SEC/BM
Name	:	ANUSH MNATSAKANYAN
Credential	:	CEO/CFO/SEC/BM
Telephone Number	:	747-217-8956

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	11/19/2021

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Directions to “HYGEIA HOSPICE CARE, INC. ” Practice Location

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