- Enrollment id
- O20190725000662
- Enrollment state
- MA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1154893055
- Multiple npi flag
- N
- Ccn
- 221613
- Associate id
- 2365778511
- Organization name
- CONVENIENT HOSPICE SERVICES INC
- Incorporation date
- 2018-11-30
- Incorporation state
- MA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 329 BOSTON POST RD
- Address line 2
- UNIT A
- City
- SUDBURY
- State
- MA
- Zip code
- 017763061