MEDICARE: TRU 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	:	1972193290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU HOSPICE, INC.

Provider Business Mailing Address
First Line	:	1145 E LOS ANGELES AVE STE 301S
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2846
Country	:	US
Telephone Number	:	818-583-0962
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 E LOS ANGELES AVE STE 301S
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2846
Country	:	US
Telephone Number	:	818-583-0962
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANUSH AGADZHANYAN
Credential	:
Telephone Number	:	818-583-0962

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	01/20/2021

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Directions to “TRU HOSPICE, INC. ” Practice Location

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