- Enrollment id
- O20200706000033
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1952969818
- Multiple npi flag
- N
- Ccn
- B21572
- Associate id
- 7810310117
- Organization name
- OJAX HOSPICE INC
- Incorporation date
- 2018-11-26
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3111 LOS FELIZ BLVD
- Address line 2
- STE 208
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391585