- Enrollment id
- O20060308000611
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1427051325
- Multiple npi flag
- N
- Ccn
- 101530
- Associate id
- 3476560905
- Organization name
- CATHOLIC HOSPICE, INC
- Incorporation date
- 1987-10-09
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 14875 NW 77TH AVE
- City
- MIAMI LAKES
- State
- FL
- Zip code
- 330142565