- Enrollment id
- O20201019003213
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1457965451
- Multiple npi flag
- N
- Ccn
- B31793
- Associate id
- 9436579141
- Organization name
- MISSION HOSPICE & PALLIATIVE CARE INC
- Doing business as name
- QUIET EMBRACE HOSPICE CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7100 HAYVENHURST AVE
- Address line 2
- STE 206
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063804