- Enrollment id
- O20210104000686
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1841825189
- Multiple npi flag
- N
- Ccn
- B41725
- Associate id
- 2264845676
- Organization name
- LUMINERE HOSPICE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7301 TOPANGA CANYON BLVD
- Address line 2
- STE 356
- City
- CANOGA PARK
- State
- CA
- Zip code
- 913031202