- Enrollment id
- O20231106000877
- Enrollment state
- MD
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1558060061
- Multiple npi flag
- N
- Ccn
- 211533
- Associate id
- 5799968392
- Organization name
- CURO HEALTH SERVICES LLC
- Doing business as name
- HEARTLAND HOSPICE (BALTIMORE)
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7001 JOHNNYCAKE RD
- Address line 2
- STE 204
- City
- WINDSOR MILL
- State
- MD
- Zip code
- 212442420