- Enrollment id
- O20220121000134
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1699361857
- Multiple npi flag
- N
- Ccn
- B41688
- Associate id
- 8527450758
- Organization name
- FIRST CHOICE HOSPICE CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18340 VENTURA BLVD
- Address line 2
- STE 228
- City
- TARZANA
- State
- CA
- Zip code
- 913567001