Public record

CMS Hospice Enrollments

Npi: 1821075201 · 1 matching record

Enrollment id: O20050411001200
Enrollment state: IA
Provider type code: 00-08
Provider type text: PART A PROVIDER - HOSPICE
Npi: 1821075201
Multiple npi flag: N
Ccn: 161575
Associate id: 3577500636
Organization name: IOWA HOSPICE LLC
Doing business as name: GENTIVA
Organization type structure: LLC
Proprietary nonprofit: P
Address line 1: 5399 CHIMRA RD
City: PANORA
State: IA
Zip code: 502168738

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