- Enrollment id
- O20250623002921
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1467219097
- Multiple npi flag
- N
- Ccn
- 101563
- Associate id
- 5496267775
- Organization name
- MEDCARE HOSPICE SERVICES LLC
- Doing business as name
- MEDCARE HOSPICE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 780 NW 42ND AVE
- Address line 2
- STE 525
- City
- MIAMI
- State
- FL
- Zip code
- 331265538