MEDICARE: SAFEMED 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	:	1427644699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEMED HOSPICE, INC.

Provider Business Mailing Address
First Line	:	200 N BRADFORD AVE STE M
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-5646
Country	:	US
Telephone Number	:	657-275-9078
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N BRADFORD AVE STE M
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-5646
Country	:	US
Telephone Number	:	657-275-9078
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARSHALUYS SIMITYAN
Credential	:
Telephone Number	:	657-275-9078

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	12/11/2020

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