- Enrollment id
- O20180109002769
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1669987913
- Multiple npi flag
- N
- Ccn
- B21510
- Associate id
- 8426317991
- Organization name
- TENDER LOVING HOSPICE CARE, INC
- Incorporation date
- 2017-11-17
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2500 E FOOTHILL BLVD
- Address line 2
- STE 204
- City
- PASADENA
- State
- CA
- Zip code
- 911073455