MEDICARE: CONEJO 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	:	1659840494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONEJO HOSPICE CARE, INC

Provider Business Mailing Address
First Line	:	80 WOOD RD STE 304A
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-8312
Country	:	US
Telephone Number	:	805-702-5047
Fax Number	:	805-834-1121

Provider Business Practice Location Address
First Line	:	80 WOOD RD STE 304A
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-8312
Country	:	US
Telephone Number	:	805-702-5047
Fax Number	:	805-834-1121

Authorized Official
Title or Position	:	CEO
Name	:	MR. NARINDER KUMAR
Credential	:
Telephone Number	:	818-317-9535

Provider Enumeration Date	:	11/22/2018
Last Update Date	:	12/15/2025

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