- Enrollment id
- O20220202002531
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1346901162
- Multiple npi flag
- N
- Ccn
- B51757
- Associate id
- 7911390596
- Organization name
- SK HOSPICE CARE INC
- Incorporation date
- 2020-12-03
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8925 SEPULVEDA BLVD
- Address line 2
- STE 200B
- City
- NORTH HILLS
- State
- CA
- Zip code
- 913434353