- Enrollment id
- O20051007000225
- Enrollment state
- TN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1255330320
- Multiple npi flag
- Y
- Ccn
- 441590
- Associate id
- 3577466531
- Organization name
- CARIS HEALTHCARE
- Doing business as name
- CARIS HEALTHCARE
- Incorporation date
- 2003-08-07
- Incorporation state
- TN
- Organization type structure
- PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 5959 SHALLOWFORD RD
- Address line 2
- STE 515
- City
- CHATTANOOGA
- State
- TN
- Zip code
- 374212236