- Enrollment id
- O20210302002145
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1447871595
- Multiple npi flag
- N
- Ccn
- B51714
- Associate id
- 6901212703
- Organization name
- TRUST CARE HOSPICE INC
- Incorporation date
- 2019-03-28
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4605 LANKERSHIM BLVD
- Address line 2
- STE 218
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916021875