MEDICARE: MY COMFORT CARE 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	:	1407447691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY COMFORT CARE HOSPICE,INC.

Provider Business Mailing Address
First Line	:	8522 FOOTHILL BLVD STE 208
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-1915
Country	:	US
Telephone Number	:	818-776-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	8522 FOOTHILL BLVD STE 208
Second Line	:
City	:	SUNLAND
State	:	CA
Zip	:	91040-1915
Country	:	US
Telephone Number	:	818-776-1111
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VARUZHAN ASHPAKHYAN
Credential	:
Telephone Number	:	818-776-1111

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	01/29/2021

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