- Enrollment id
- O20201104002037
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1205434180
- Multiple npi flag
- N
- Ccn
- B31509
- Associate id
- 2860802774
- Organization name
- LEADING HOSPICE & PALLIATIVE CARE
- Incorporation date
- 2020-08-28
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16430 VENTURA BLVD
- Address line 2
- STE 304
- City
- ENCINO
- State
- CA
- Zip code
- 914362133