- Enrollment id
- O20210818003556
- Enrollment state
- AZ
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1316529449
- Multiple npi flag
- N
- Ccn
- 031771
- Associate id
- 3577968205
- Organization name
- TRUE NORTH HEALTHCARE LLC
- Doing business as name
- TRUE NORTH HOSPICE
- Incorporation date
- 2021-02-20
- Incorporation state
- AZ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2432 W PEORIA AVE
- Address line 2
- STE 1201
- City
- PHOENIX
- State
- AZ
- Zip code
- 850294736