MEDICARE: NEW LIFE 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	:	1487995627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LIFE HOSPICE CARE,INC.

Provider Business Mailing Address
First Line	:	4000 W MAGNOLIA BLVD
Second Line	:	SUITE B
City	:	BURBANK
State	:	CA
Zip	:	91505-2827
Country	:	US
Telephone Number	:	818-260-9120
Fax Number	:	818-260-9230

Provider Business Practice Location Address
First Line	:	4000 W MAGNOLIA BLVD
Second Line	:	SUITE B
City	:	BURBANK
State	:	CA
Zip	:	91505-2827
Country	:	US
Telephone Number	:	818-260-9120
Fax Number	:	818-260-9230

Authorized Official
Title or Position	:	CEO
Name	:	MR. KAREN OVSEPYAN
Credential	:
Telephone Number	:	818-260-9120

Provider Enumeration Date	:	03/13/2013
Last Update Date	:	03/13/2013

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