- Enrollment id
- O20110425000469
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1487953089
- Multiple npi flag
- N
- Ccn
- 231626
- Associate id
- 2163607722
- Organization name
- ASSURED HOSPICE CARE INC
- Incorporation date
- 2010-11-16
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 25925 TELEGRAPH RD
- Address line 2
- STE 320
- City
- SOUTHFIELD
- State
- MI
- Zip code
- 480332518