- Enrollment id
- O20150714000015
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1164803318
- Multiple npi flag
- N
- Ccn
- A01701
- Associate id
- 0244230217
- Organization name
- VALLEY HEART HOSPICE CARE INC.
- Incorporation date
- 2015-10-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 20953 DEVONSHIRE ST
- Address line 2
- STE 3B
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913112367