- Enrollment id
- O20200723002566
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1427674712
- Multiple npi flag
- N
- Ccn
- D61501
- Associate id
- 3072937994
- Organization name
- SIMPLE CHOICE HOSPICE INC
- Incorporation date
- 2020-06-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15720 VENTURA BLVD
- Address line 2
- STE 106
- City
- ENCINO
- State
- CA
- Zip code
- 914362963