- Enrollment id
- O20050411000833
- Enrollment state
- RI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1871674796
- Multiple npi flag
- N
- Ccn
- 411500
- Associate id
- 4587659255
- Organization name
- HOPEHEALTH HOSPICE & PALLIATIVE CARE
- Incorporation date
- 1976-03-26
- Incorporation state
- RI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1085 N MAIN ST
- City
- PROVIDENCE
- State
- RI
- Zip code
- 029045719