MEDICARE: SCOPE HEALTH CARE 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	:	1871895979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOPE HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1211 W MAGNOLIA BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1829
Country	:	US
Telephone Number	:	818-848-8575
Fax Number	:	818-848-8528

Provider Business Practice Location Address
First Line	:	1211 W MAGNOLIA BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1829
Country	:	US
Telephone Number	:	818-848-8575
Fax Number	:	818-848-8528

Authorized Official
Title or Position	:	SECRETARY
Name	:	MRS. ALICIA BALMORES LANSANGAN
Credential	:	RN
Telephone Number	:	818-848-8575

Provider Enumeration Date	:	11/22/2010
Last Update Date	:	03/09/2016

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