- Enrollment id
- O20120411000886
- Enrollment state
- NJ
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1316943533
- Multiple npi flag
- N
- Ccn
- 311556
- Associate id
- 4183885502
- Organization name
- EMBRACING HOSPICECARE OF NEW JERSEY,LLC
- Doing business as name
- EMBRACING HOSPICE CARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3349 ROUTE 138
- Address line 2
- BUILDING D, SUITE F
- City
- WALL
- State
- NJ
- Zip code
- 077199671