- Enrollment id
- O20160203000529
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1912333790
- Multiple npi flag
- N
- Ccn
- 921555
- Associate id
- 2062716533
- Organization name
- CINTA HOSPICE CARE INC
- Incorporation date
- 2013-09-03
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5050 PALO VERDE ST
- Address line 2
- STE 101
- City
- MONTCLAIR
- State
- CA
- Zip code
- 917632333