- Enrollment id
- O20210825000152
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1942890405
- Multiple npi flag
- N
- Ccn
- B51706
- Associate id
- 8022413384
- Organization name
- TH CARING HOSPICE CARE INC
- Incorporation date
- 2020-11-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 13615 VICTORY BLVD
- Address line 2
- STE 111
- City
- VAN NUYS
- State
- CA
- Zip code
- 914011770