- Enrollment id
- O20050908000844
- Enrollment state
- LA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1689642589
- Multiple npi flag
- N
- Ccn
- 191507
- Associate id
- 8022040229
- Organization name
- HOSPICE FOUNDATION OF GREATER BATON ROUGE
- Doing business as name
- THE HOSPICE OF BATON ROUGE
- Incorporation date
- 1984-03-09
- Incorporation state
- LA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 3600 FLORIDA BLVD
- City
- BATON ROUGE
- State
- LA
- Zip code
- 708063842