- Enrollment id
- O20111007000619
- Enrollment state
- LA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1194034868
- Multiple npi flag
- N
- Ccn
- 191686
- Associate id
- 9335311687
- Organization name
- CARSON INVESTMENTS OF LOUISIANA, INC
- Doing business as name
- NIGHTINGALE HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4530 BARKDALE BLVD
- Address line 2
- SUITE A & A2
- City
- BOSSIER CITY
- State
- LA
- Zip code
- 711124598