MEDICARE: YOUR 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1538743745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR HOSPICE CARE

Provider Business Mailing Address
First Line	:	24868 APPLE ST STE 202
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-5043
Country	:	US
Telephone Number	:	661-476-5170
Fax Number	:

Provider Business Practice Location Address
First Line	:	24868 APPLE ST STE 202
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-5043
Country	:	US
Telephone Number	:	661-476-5170
Fax Number	:	661-414-8074

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBIN J LITVAK
Credential	:
Telephone Number	:	661-476-5170

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	05/12/2021

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