- Enrollment id
- O20161028000111
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1407285927
- Multiple npi flag
- N
- Ccn
- 921727
- Associate id
- 2860770799
- Organization name
- ALTRUISTIC HOSPICE INC
- Incorporation date
- 2013-10-29
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17050 CHATSWORTH ST
- Address line 2
- STE 251
- City
- GRANADA HILLS
- State
- CA
- Zip code
- 913447815