- Enrollment id
- O20111207000093
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1326315466
- Multiple npi flag
- N
- Ccn
- 551735
- Associate id
- 0749455582
- Organization name
- MAXIMUM CARE HOSPICE, INC.
- Incorporation date
- 2011-10-20
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5301 LAUREL CANYON BLVD
- Address line 2
- STE 230
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916072786