- Enrollment id
- O20120529000532
- Enrollment state
- CT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1245599398
- Multiple npi flag
- N
- Ccn
- 071501
- Associate id
- 2062675101
- Organization name
- CARING HOSPICE SERVICES OF CONNECTICUT, LLC
- Incorporation date
- 2012-03-14
- Incorporation state
- CT
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 456 GLENBROOK RD
- Address line 2
- STE 2
- City
- STAMFORD
- State
- CT
- Zip code
- 069061800