- Enrollment id
- O20160902001381
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1336579705
- Multiple npi flag
- N
- Ccn
- 921625
- Associate id
- 8921394735
- Organization name
- HOPE & HEALTH HOSPICE INC
- Doing business as name
- UNIVERSAL HOSPICE GROUP
- Incorporation date
- 2013-11-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15720 VENTURA BLVD
- Address line 2
- STE 208
- City
- ENCINO
- State
- CA
- Zip code
- 914362971