- Enrollment id
- O20140806002202
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1720496110
- Multiple npi flag
- N
- Ccn
- B21600
- Associate id
- 1355568858
- Organization name
- AR HOSPICE CARE INC
- Incorporation date
- 2016-06-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14547 TITUS ST
- Address line 2
- STE 214
- City
- PANORAMA CITY
- State
- CA
- Zip code
- 914024935