- Enrollment id
- O20170406001892
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1821448606
- Multiple npi flag
- N
- Ccn
- B41520
- Associate id
- 9739465709
- Organization name
- ARROWHEAD HOSPICE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16250 VENTURA BLVD
- Address line 2
- STE 426
- City
- ENCINO
- State
- CA
- Zip code
- 914364620