- Enrollment id
- O20210120000171
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1023625423
- Multiple npi flag
- N
- Ccn
- B31712
- Associate id
- 3375956048
- Organization name
- I KNOW HOSPICE INC
- Incorporation date
- 2020-09-09
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18425 BURBANK BLVD
- Address line 2
- STE 401
- City
- TARZANA
- State
- CA
- Zip code
- 913562825