- Enrollment id
- O20240123001436
- Enrollment state
- IA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1164123873
- Multiple npi flag
- N
- Ccn
- 161568
- Associate id
- 5799968392
- Organization name
- CURO HEALTH SERVICES LLC
- Doing business as name
- HEARTLAND HOSPICE (DAVENPORT)
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5139 UTICA RIDGE RD
- City
- DAVENPORT
- State
- IA
- Zip code
- 528073062