- Enrollment id
- O20051025001091
- Enrollment state
- TN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1053379214
- Multiple npi flag
- N
- Ccn
- 441525
- Associate id
- 9638168735
- Organization name
- ADVENTA HOSPICE, L.L.C.
- Doing business as name
- AMEDISYS HOSPICE, AN ADVENTA COMPANY
- Incorporation date
- 2002-11-18
- Incorporation state
- TN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1420 DUTCH VALLEY DR
- Address line 2
- STE C
- City
- KNOXVILLE
- State
- TN
- Zip code
- 379181424