- Enrollment id
- O20250401003670
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1154162857
- Multiple npi flag
- N
- Ccn
- 101515
- Associate id
- 7911420724
- Organization name
- ABODE HOSPICE OF FLORIDA, LLC
- Doing business as name
- HAVEN HOSPICE
- Incorporation date
- 2024-04-25
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 4200 NW 90TH BLVD
- City
- GAINESVILLE
- State
- FL
- Zip code
- 326063809