MEDICARE: HIGH QUALITY 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	550001759	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	551672	OTHER	CA	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1659674547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH QUALITY HOSPICE CARE

Provider Business Mailing Address
First Line	:	21707 HAWTHORNE BLVD
Second Line	:	SUITE 304
City	:	TORRANCE
State	:	CA
Zip	:	90503-7009
Country	:	US
Telephone Number	:	310-543-4679
Fax Number	:	310-543-4690

Provider Business Practice Location Address
First Line	:	21707 HAWTHORNE BLVD
Second Line	:	SUITE 304
City	:	TORRANCE
State	:	CA
Zip	:	90503-7009
Country	:	US
Telephone Number	:	310-543-4679
Fax Number	:	310-543-4690

Authorized Official
Title or Position	:	ADM/DPCS
Name	:	MRS. ELIZABETH L LAGLEVA
Credential	:	RN
Telephone Number	:	310-543-4679

Provider Enumeration Date	:	12/15/2010
Last Update Date	:	05/28/2026

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Directions to “HIGH QUALITY HOSPICE CARE ” Practice Location

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