- Enrollment id
- O20200505000488
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1891332557
- Multiple npi flag
- N
- Ccn
- A11536
- Associate id
- 2668803743
- Organization name
- SMART CHOICE HOSPICE INC
- Incorporation date
- 2019-09-11
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 20945 DEVONSHIRE ST
- Address line 2
- STE 103
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913112370