MEDICARE: EMHOSPICE

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	:	1578131280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMHOSPICE

Provider Business Mailing Address
First Line	:	6729 HERMOSA AVE UNIT 907
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-6105
Country	:	US
Telephone Number	:	909-330-0696
Fax Number	:	323-250-0052

Provider Business Practice Location Address
First Line	:	6729 HERMOSA AVE UNIT 907
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-6105
Country	:	US
Telephone Number	:	909-330-0696
Fax Number	:	323-250-0052

Authorized Official
Title or Position	:	CEO
Name	:	MARIAM SNDOYAN
Credential	:
Telephone Number	:	909-330-0696

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	06/04/2026

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Directions to “EMHOSPICE ” Practice Location

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