- Enrollment id
- O20150513001029
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1942695499
- Multiple npi flag
- N
- Ccn
- 921739
- Associate id
- 4981924008
- Organization name
- EASY CARE HOSPICE, INC.
- Incorporation date
- 2015-03-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 520 E WILSON AVE
- Address line 2
- STE 115
- City
- GLENDALE
- State
- CA
- Zip code
- 912064374