MEDICARE: GO FOR HELP 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		CA

General Provider Information

NPI Number	:	1811407604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO FOR HELP HOSPICE, INC.

Provider Business Mailing Address
First Line	:	5352 LAUREL CANYON BLVD STE 201
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4937
Country	:	US
Telephone Number	:	818-756-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	5352 LAUREL CANYON BLVD STE 201
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4937
Country	:	US
Telephone Number	:	818-756-2047
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. ANAHIT AVAGYAN
Credential	:
Telephone Number	:	818-756-2047

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	09/30/2022

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