- Enrollment id
- O20210726000535
- Enrollment state
- CO
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1003483330
- Multiple npi flag
- N
- Ccn
- 061622
- Associate id
- 6204239544
- Organization name
- A PEACEFUL JOURNEY HOSPICE, LLC
- Doing business as name
- A PEACEFUL JOURNEY HOSPICE
- Incorporation date
- 2021-01-16
- Incorporation state
- CO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2851 S PARKER RD
- Address line 2
- STE 1130
- City
- AURORA
- State
- CO
- Zip code
- 800142732