- Enrollment id
- O20201119000391
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1922611870
- Multiple npi flag
- N
- Ccn
- B51755
- Associate id
- 1153732359
- Organization name
- ASHC HOSPICE INC
- Incorporation date
- 2020-02-11
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7100 HAYVENHURST AVE
- Address line 2
- STE 320
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063849