- Enrollment id
- O20201001000152
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1801427026
- Multiple npi flag
- N
- Ccn
- A11743
- Associate id
- 8628497211
- Organization name
- OC HOSPICE CARE INC
- Incorporation date
- 2019-01-30
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 19626 VENTURA BLVD
- Address line 2
- STE 225
- City
- TARZANA
- State
- CA
- Zip code
- 913566038