- Enrollment id
- O20191104002912
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1417435991
- Multiple npi flag
- N
- Ccn
- A11719
- Associate id
- 3577661990
- Organization name
- WESTERN HEALTH RESOURCES
- Doing business as name
- ADVENTIST HEALTH HOME CARE SERVICES
- Incorporation date
- 1983-05-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 5500 MING AVE
- Address line 2
- STE 120
- City
- BAKERSFIELD
- State
- CA
- Zip code
- 933094619