- Enrollment id
- O20211220002070
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1073149563
- Multiple npi flag
- N
- Ccn
- B51660
- Associate id
- 8729479175
- Organization name
- ALPHA HOSPICE CARE INC.
- Incorporation date
- 2019-10-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5924 E LOS ANGELES AVE
- Address line 2
- STE U
- City
- SIMI VALLEY
- State
- CA
- Zip code
- 930635526