- Enrollment id
- O20200604001039
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1457989709
- Multiple npi flag
- N
- Ccn
- B51767
- Associate id
- 3476974130
- Organization name
- GENERAL CARE GROUP INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6005 VINELAND AVE
- Address line 2
- STE 202
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916064984