MEDICARE: PEAK CARE 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	:	1730725722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK CARE HOSPICE, INC.

Provider Business Mailing Address
First Line	:	401 N BRAND BLVD STE 248
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4444
Country	:	US
Telephone Number	:	818-480-3284
Fax Number	:	800-878-8429

Provider Business Practice Location Address
First Line	:	401 N BRAND BLVD STE 248
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4444
Country	:	US
Telephone Number	:	818-480-3284
Fax Number	:	800-878-8429

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM MELIKYAN
Credential	:
Telephone Number	:	818-480-3284

Provider Enumeration Date	:	11/25/2019
Last Update Date	:	11/25/2019

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Directions to “PEAK CARE HOSPICE, INC. ” Practice Location

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