MEDICARE: FIRST AID 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	:	1538625850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST AID HOSPICE, INC.

Provider Business Mailing Address
First Line	:	401 N BRAND BLVD STE 262
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4444
Country	:	US
Telephone Number	:	818-480-6586
Fax Number	:	888-919-3212

Provider Business Practice Location Address
First Line	:	401 N BRAND BLVD STE 262
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4444
Country	:	US
Telephone Number	:	818-480-6586
Fax Number	:	888-919-3212

Authorized Official
Title or Position	:	CEO
Name	:	MAIS MELIKIAN
Credential	:
Telephone Number	:	818-480-6586

Provider Enumeration Date	:	02/11/2019
Last Update Date	:	02/11/2019

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Directions to “FIRST AID HOSPICE, INC. ” Practice Location

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