- Enrollment id
- O20200811001684
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1417590555
- Multiple npi flag
- N
- Ccn
- A11725
- Associate id
- 2961828751
- Organization name
- HORIZON VIEW HOSPICE INC
- Incorporation date
- 2019-09-03
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 232 N LAKE AVE
- Address line 2
- STE 225
- City
- PASADENA
- State
- CA
- Zip code
- 911011862