- Enrollment id
- O20240820003315
- Enrollment state
- OH
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1043091275
- Multiple npi flag
- N
- Ccn
- 361558
- Associate id
- 5890233951
- Organization name
- EMUNAH HOSPICE LLC
- Incorporation date
- 2023-09-01
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1 DAVID MYERS PKWY
- City
- BEACHWOOD
- State
- OH
- Zip code
- 441221162