MEDICARE: GOLDEN SEASONS 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	:	1770048738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN SEASONS HOSPICE, INC.

Provider Business Mailing Address
First Line	:	3089 N LIMA ST STE A
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2013
Country	:	US
Telephone Number	:	818-538-5863
Fax Number	:	818-538-5882

Provider Business Practice Location Address
First Line	:	3089 N LIMA ST STE A
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2013
Country	:	US
Telephone Number	:	818-538-5863
Fax Number	:	818-538-5882

Authorized Official
Title or Position	:	CEO
Name	:	LETICIA ALDABA
Credential	:
Telephone Number	:	818-538-5863

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	04/11/2022

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