- Enrollment id
- O20210424000005
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1053926071
- Multiple npi flag
- N
- Ccn
- B51518
- Associate id
- 3375951775
- Organization name
- BRAND HOSPICE CARE INC
- Incorporation date
- 2020-06-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7630 VINELAND AVE
- Address line 2
- STE 209A
- City
- SUN VALLEY
- State
- CA
- Zip code
- 913524535