- Enrollment id
- O20221208000220
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1396007167
- Multiple npi flag
- N
- Ccn
- D61536
- Associate id
- 1456507904
- Organization name
- ARDENT CARE HOSPICE INC
- Incorporation date
- 2012-02-17
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 500 E OLIVE AVE
- Address line 2
- STE 860
- City
- BURBANK
- State
- CA
- Zip code
- 915013316