- Enrollment id
- O20220126003264
- Enrollment state
- IN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1265021695
- Multiple npi flag
- N
- Ccn
- 151646
- Associate id
- 4183712821
- Organization name
- INDIANAPOLIS JEWISH HOME, INC.
- Doing business as name
- AARON-RUBEN-NELSON HOSPICE
- Incorporation date
- 1968-04-02
- Incorporation state
- IN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 7001 HOOVER RD
- City
- INDIANAPOLIS
- State
- IN
- Zip code
- 462604169