- Enrollment id
- O20071206000001
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1558541789
- Multiple npi flag
- N
- Ccn
- 551539
- Associate id
- 8224032503
- Organization name
- PROCARE HOSPICE, LLC
- Doing business as name
- MISSION HOSPICE SERVICES OF BAKERSFIELD
- Incorporation date
- 1995-11-16
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5500 MING AVE
- Address line 2
- STE 190
- City
- BAKERSFIELD
- State
- CA
- Zip code
- 933094623