- Enrollment id
- O20200731000813
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1134747686
- Multiple npi flag
- N
- Ccn
- B31579
- Associate id
- 5395160840
- Organization name
- LOTUS HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16250 VENTURA BLVD
- Address line 2
- STE 200
- City
- ENCINO
- State
- CA
- Zip code
- 914362210