- Enrollment id
- O20220531000656
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1194313734
- Multiple npi flag
- N
- Ccn
- B51646
- Associate id
- 3971981150
- Organization name
- UNIFIED HOSPICE SERVICES, INC.
- Doing business as name
- NOBLE HEALTHCARE SYSTEMS
- Incorporation date
- 2020-12-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4730 WOODMAN AVE
- Address line 2
- # 440B
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914232400