- Enrollment id
- O20040513000643
- Enrollment state
- NY
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1013972751
- Multiple npi flag
- N
- Ccn
- 331532
- Associate id
- 5395735278
- Organization name
- HOSPICE CARE NETWORK
- Incorporation date
- 1988-09-01
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 99 SUNNYSIDE BLVD
- City
- WOODBURY
- State
- NY
- Zip code
- 117972946