MEDICARE: LUXE HOSPICE, 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	:	1699197400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUXE HOSPICE, INC.

Provider Business Mailing Address
First Line	:	11726 SAN VICENTE BLVD STE 250
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5092
Country	:	US
Telephone Number	:	310-459-2040
Fax Number	:	310-496-0235

Provider Business Practice Location Address
First Line	:	11726 SAN VICENTE BLVD STE 250
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5092
Country	:	US
Telephone Number	:	310-459-2040
Fax Number	:	310-496-0235

Authorized Official
Title or Position	:	CEO
Name	:	SEYEDEH Z VAHDANI
Credential	:
Telephone Number	:	310-699-5885

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	04/16/2026

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Directions to “LUXE HOSPICE, INC. ” Practice Location

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