- Enrollment id
- O20211118000137
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1851988448
- Multiple npi flag
- N
- Ccn
- B31771
- Associate id
- 9537558283
- Organization name
- SERENITY HILLS HOSPICE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 120 N VICTORY BLVD
- Address line 2
- STE 309
- City
- BURBANK
- State
- CA
- Zip code
- 915020001