- Enrollment id
- O20130219000028
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1144569617
- Multiple npi flag
- N
- Ccn
- 921596
- Associate id
- 6901051192
- Organization name
- JOURNEY HOSPICE SERVICES, INC.
- Incorporation date
- 2012-09-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 500 E OLIVE AVE
- Address line 2
- STE 710
- City
- BURBANK
- State
- CA
- Zip code
- 915012184