- Enrollment id
- O20231222002032
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1013617786
- Multiple npi flag
- N
- Ccn
- 101502
- Associate id
- 6002723004
- Organization name
- ODYSSEY HEALTHCARE HOLDING COMPANY
- Doing business as name
- HEARTLAND HOSPICE (BROWARD)
- Incorporation date
- 2000-11-17
- Incorporation state
- DE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 150 S PINE ISLAND RD
- Address line 2
- STE 540
- City
- PLANTATION
- State
- FL
- Zip code
- 333242667