- Enrollment id
- O20220223000141
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1457948093
- Multiple npi flag
- N
- Ccn
- B41666
- Associate id
- 9133513823
- Organization name
- TRILOGY HOSPICE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14328 VICTORY BLVD
- Address line 2
- STE K
- City
- VAN NUYS
- State
- CA
- Zip code
- 914016565