- Enrollment id
- O20150821013400
- Enrollment state
- OH
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1598740011
- Multiple npi flag
- N
- Ccn
- 361531
- Associate id
- 3274848171
- Organization name
- HOSPICE OF CINCINNATI INCORPORATED
- Incorporation date
- 1977-08-01
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 4310 COOPER ROAD
- City
- CINCINNATI
- State
- OH
- Zip code
- 45242