- Enrollment id
- O20210108001239
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1225645831
- Multiple npi flag
- N
- Ccn
- B41740
- Associate id
- 2062825110
- Organization name
- VENTURA HOSPICE INC
- Doing business as name
- STARLIGHT HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 224 E OLIVE AVE
- Address line 2
- STE 213
- City
- BURBANK
- State
- CA
- Zip code
- 915021234