MEDICARE: PAIN FREE HOSPICE

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	:	1730758475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN FREE HOSPICE

Provider Business Mailing Address
First Line	:	10627 BURBANK BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2510
Country	:	US
Telephone Number	:	818-851-0070
Fax Number	:	818-936-0286

Provider Business Practice Location Address
First Line	:	10627 BURBANK BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2510
Country	:	US
Telephone Number	:	818-851-0070
Fax Number	:	818-936-0286

Authorized Official
Title or Position	:	CEO
Name	:	VOVA MARTIROSYAN
Credential	:
Telephone Number	:	818-851-0070

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	06/17/2021

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Directions to “PAIN FREE HOSPICE ” Practice Location

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