- Enrollment id
- O20190206002476
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1912321944
- Multiple npi flag
- N
- Ccn
- A01726
- Associate id
- 0547491102
- Organization name
- WHITE ROSE HOSPICE INC
- Incorporation date
- 2013-01-04
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 202
- City
- ENCINO
- State
- CA
- Zip code
- 914362215