- Enrollment id
- O20210816002170
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1699374736
- Multiple npi flag
- N
- Ccn
- B31603
- Associate id
- 8527463447
- Organization name
- NOHO HOSPICE CARE INC
- Incorporation date
- 2020-08-26
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11755 VICTORY BLVD
- Address line 2
- STE 218
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916063469