- Enrollment id
- O20161129000423
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1043655996
- Multiple npi flag
- N
- Ccn
- B31698
- Associate id
- 2163702663
- Organization name
- ANTHEM HOSPICE CARE INC
- Incorporation date
- 2013-01-30
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 20121 VENTURA BLVD
- Address line 2
- STE 303
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913642559