- Enrollment id
- O20210806002560
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1538769708
- Multiple npi flag
- N
- Ccn
- B51734
- Associate id
- 0648674051
- Organization name
- NATURES CARE HOSPICE
- Incorporation date
- 2020-09-30
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14545 FRIAR ST
- Address line 2
- STE 196
- City
- VAN NUYS
- State
- CA
- Zip code
- 914112397