- Enrollment id
- O20190914000067
- Enrollment state
- AL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1609337229
- Multiple npi flag
- N
- Ccn
- 011543
- Associate id
- 1557690690
- Organization name
- EH HEALTH HOSPICE OF ALABAMA, LLC
- Doing business as name
- ENHABIT HOSPICE BIRMINGHAM
- Incorporation date
- 2019-03-19
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1 CHASE CORPORATE DR
- Address line 2
- STE 210B
- City
- HOOVER
- State
- AL
- Zip code
- 352441000