- Enrollment id
- O20050620000024
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1275553018
- Multiple npi flag
- N
- Ccn
- 101533
- Associate id
- 9830133941
- Organization name
- ADVENTHEALTH HOME HEALTH AND HOSPICE INC
- Doing business as name
- ADVENTHEALTH HOSPICE
- Incorporation date
- 1989-02-24
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 480 W CENTRAL PKWY
- City
- ALTAMONTE SPRINGS
- State
- FL
- Zip code
- 327142415