- Enrollment id
- O20210303001967
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1144839747
- Multiple npi flag
- N
- Ccn
- B21672
- Associate id
- 6709292477
- Organization name
- VISITING ANGELS HOSPICE CARE INC
- Incorporation date
- 2020-06-03
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5958 VINELAND AVE
- Address line 2
- STE L1
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916011329