- Enrollment id
- O20080109000122
- Enrollment state
- NC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1093774614
- Multiple npi flag
- N
- Ccn
- 341503
- Associate id
- 3678558962
- Organization name
- AUTHORACARE COLLECTIVE
- Incorporation date
- 1984-09-10
- Incorporation state
- NC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2500 SUMMIT AVE
- City
- GREENSBORO
- State
- NC
- Zip code
- 274054522