MEDICARE: HOSPICE ANGELS, 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	:	1598346330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE ANGELS, INC.

Provider Business Mailing Address
First Line	:	1115 N PACIFIC AVE STE E
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-4325
Country	:	US
Telephone Number	:	626-265-4032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 N PACIFIC AVE STE E
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-4325
Country	:	US
Telephone Number	:	626-265-4032
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MELINE NAZARYAN
Credential	:
Telephone Number	:	747-252-8120

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	04/16/2021

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Directions to “HOSPICE ANGELS, INC. ” Practice Location

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