- Enrollment id
- O20200828001988
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1497365233
- Multiple npi flag
- N
- Ccn
- B31666
- Associate id
- 2365869864
- Organization name
- UNITED HEALTHCARE HOSPICE INC
- Incorporation date
- 2020-07-28
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18747 SHERMAN WAY
- Address line 2
- STE 101
- City
- RESEDA
- State
- CA
- Zip code
- 913354000