MEDICARE: TRUSTED HOSPICE CARE

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	315D00000X	Inpatient Hospice

General Provider Information

NPI Number	:	1447761820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED HOSPICE CARE

Provider Business Mailing Address
First Line	:	17915 VENTURA BLVD STE 233
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17915 VENTURA BLVD STE 233
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4815
Country	:	US
Telephone Number	:	818-578-6815
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SANAM MINOO
Credential	:	EDD
Telephone Number	:	818-578-6815

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	06/16/2018

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Directions to “TRUSTED HOSPICE CARE ” Practice Location

Language	Start Address	Practice Location

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