- Enrollment id
- O20210816001871
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1316546351
- Multiple npi flag
- N
- Ccn
- B31550
- Associate id
- 9234534140
- Organization name
- KINDNESS HOSPICE CARE INC
- Incorporation date
- 2020-08-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12444 VICTORY BLVD
- Address line 2
- STE 208
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916063199