MEDICARE: VIVANI 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	:	1558759084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVANI HOSPICE CARE,INC.

Provider Business Mailing Address
First Line	:	16661 VENTURA BLVD STE 206
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-1923
Country	:	US
Telephone Number	:	877-568-8870
Fax Number	:	818-301-0272

Provider Business Practice Location Address
First Line	:	16661 VENTURA BLVD STE 206
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-1923
Country	:	US
Telephone Number	:	877-568-8870
Fax Number	:	818-301-0272

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MINOO SEDEHIZADEH
Credential	:
Telephone Number	:	818-658-1780

Provider Enumeration Date	:	01/07/2015
Last Update Date	:	10/08/2018

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