- Enrollment id
- O20070620000666
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1033144464
- Multiple npi flag
- N
- Ccn
- 051652
- Associate id
- 1052228673
- Organization name
- SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
- Doing business as name
- SUTTER CARE AT HOME
- Incorporation date
- 1908-05-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 3001 LAVA RIDGE CT
- Address line 2
- STE 330B
- City
- ROSEVILLE
- State
- CA
- Zip code
- 956613094