- Enrollment id
- O20221103002095
- Enrollment state
- CO
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1700526225
- Multiple npi flag
- N
- Ccn
- 061627
- Associate id
- 6608243688
- Organization name
- SUN CARE HOSPICE INC
- Incorporation date
- 2022-01-21
- Incorporation state
- CO
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8400 E CRESCENT PKWY
- Address line 2
- STE 623
- City
- GREENWOOD VILLAGE
- State
- CO
- Zip code
- 801112831