MEDICARE: EPIC HEALTH HOSPICE SERVICES, 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	:	1750957742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPIC HEALTH HOSPICE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3800 W BURBANK BLVD STE 103A
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2148
Country	:	US
Telephone Number	:	818-660-2070
Fax Number	:	818-797-3222

Provider Business Practice Location Address
First Line	:	3800 W BURBANK BLVD STE 103A
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2148
Country	:	US
Telephone Number	:	818-660-2070
Fax Number	:	818-797-3222

Authorized Official
Title or Position	:	CEO
Name	:	STELLA SARGSYAN
Credential	:
Telephone Number	:	818-660-2070

Provider Enumeration Date	:	05/31/2021
Last Update Date	:	05/31/2021

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