- Enrollment id
- O20211019000415
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1821600628
- Multiple npi flag
- N
- Ccn
- B31676
- Associate id
- 1658769948
- Organization name
- HP HOSPICE CARE INC
- Incorporation date
- 2020-07-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 427 W COLORADO ST
- Address line 2
- STE 207
- City
- GLENDALE
- State
- CA
- Zip code
- 912043046