- Enrollment id
- O20220815000985
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1720674989
- Multiple npi flag
- N
- Ccn
- B51724
- Associate id
- 1557744133
- Organization name
- SS HOSPICE CARE INC
- Incorporation date
- 2019-10-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 21405 DEVONSHIRE ST
- Address line 2
- STE 225
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913112942