- Enrollment id
- O20120730000155
- Enrollment state
- OH
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1568773034
- Multiple npi flag
- N
- Ccn
- 361668
- Associate id
- 3173704376
- Organization name
- HOSPICE OF KIMES, LLC
- Doing business as name
- HW & CO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 64 KIMES LANE
- City
- ATHENS
- State
- OH
- Zip code
- 457013801