- Enrollment id
- O20080828000294
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1659415222
- Multiple npi flag
- N
- Ccn
- 051746
- Associate id
- 8224923081
- Organization name
- VITAS HEALTHCARE CORPORATION OF CALIFORNIA
- Incorporation date
- 1994-11-28
- Incorporation state
- DE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 670 N MCCARTHY BOULEVARD
- Address line 2
- SUITE 220
- City
- MILPITAS
- State
- CA
- Zip code
- 950355119