- Enrollment id
- O20200729001998
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1114574977
- Multiple npi flag
- N
- Ccn
- B21591
- Associate id
- 2567887235
- Organization name
- TRAM HOSPICE CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9221 CORBIN AVE
- Address line 2
- STE 175
- City
- NORTHRIDGE
- State
- CA
- Zip code
- 913241661