- Enrollment id
- O20040401001365
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1386641629
- Multiple npi flag
- N
- Ccn
- 101511
- Associate id
- 1456343086
- Organization name
- HERNANDO-PASCO HOSPICE, INC
- Doing business as name
- HPH HOSPICE
- Incorporation date
- 1982-06-04
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 12107 MAJESTIC BLVD
- City
- HUDSON
- State
- FL
- Zip code
- 346672455