- Enrollment id
- O20200322000195
- Enrollment state
- GA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1700427861
- Multiple npi flag
- N
- Ccn
- 851527
- Associate id
- 6709214968
- Organization name
- SUNCARE HOSPICE LLC
- Doing business as name
- SUNCARE HOSPICE AND PALLIATIVE CARE
- Incorporation date
- 2019-09-25
- Incorporation state
- GA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 804 TOWNE PARK DR
- Address line 2
- STE 200
- City
- RINCON
- State
- GA
- Zip code
- 313265154