- Enrollment id
- O20200505002002
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1134780604
- Multiple npi flag
- N
- Ccn
- A11560
- Associate id
- 5395176408
- Organization name
- ON CALL HOSPICE CARE, INC.
- Incorporation date
- 2019-05-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5311 TOPANGA CANYON BLVD
- Address line 2
- STE 314
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913641701