- Enrollment id
- O20210730002505
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1568079762
- Multiple npi flag
- N
- Ccn
- B51551
- Associate id
- 2769885532
- Organization name
- REAL CARE HOSPICE INC
- Incorporation date
- 2020-09-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4730 WOODMAN AVE
- Address line 2
- STE 205
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914232401