- Enrollment id
- O20200129000605
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1871153932
- Multiple npi flag
- N
- Ccn
- A01729
- Associate id
- 1254767908
- Organization name
- MELROSE COMFORT HOSPICE, INC.
- Incorporation date
- 2019-01-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 150 E OLIVE AVE
- Address line 2
- STE 113
- City
- BURBANK
- State
- CA
- Zip code
- 915021849