MEDICARE: HOME SWEET HOSPICE CARE 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	:	1952072498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME SWEET HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	5706 CORSA AVE STE 200R
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-4057
Country	:	US
Telephone Number	:	818-451-9883
Fax Number	:

Provider Business Practice Location Address
First Line	:	5706 CORSA AVE STE 200R
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-4057
Country	:	US
Telephone Number	:	818-451-9883
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALEXIS APPLING
Credential	:
Telephone Number	:	818-451-9883

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	09/24/2021

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