- Enrollment id
- O20210914000271
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1548886765
- Multiple npi flag
- N
- Ccn
- B41587
- Associate id
- 2466858618
- Organization name
- ANGEL'S CARING HANDS HOSPICE CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 600 W BROADWAY
- Address line 2
- STE 240
- City
- GLENDALE
- State
- CA
- Zip code
- 912041024