- Enrollment id
- O20241114003871
- Enrollment state
- CO
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1265262570
- Multiple npi flag
- N
- Ccn
- 061638
- Associate id
- 1153855069
- Organization name
- LILY HOSPICE CARE INC
- Incorporation date
- 2024-07-24
- Incorporation state
- CO
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8400 E CRESCENT PKWY
- Address line 2
- # 606
- City
- GREENWOOD VILLAGE
- State
- CO
- Zip code
- 801112831