MEDICARE: PRECIOUS 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	:	1508417817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECIOUS HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	10545 BURBANK BLVD STE 123
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2250
Country	:	US
Telephone Number	:	818-927-2898
Fax Number	:	818-272-8988

Provider Business Practice Location Address
First Line	:	10545 BURBANK BLVD STE 123
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2250
Country	:	US
Telephone Number	:	818-927-2898
Fax Number	:	818-272-8988

Authorized Official
Title or Position	:	CEO
Name	:	GOAR POGOSIAN
Credential	:
Telephone Number	:	818-272-8989

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	09/27/2019

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