- Enrollment id
- O20080403000048
- Enrollment state
- AR
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1306984364
- Multiple npi flag
- Y
- Ccn
- 041524
- Associate id
- 4688644164
- Organization name
- HOSPICE HOME CARE, LLC
- Incorporation date
- 1994-08-19
- Incorporation state
- AR
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2200 S BOWMAN RD
- Address line 2
- STE A
- City
- LITTLE ROCK
- State
- AR
- Zip code
- 722114136