- Enrollment id
- O20130204000384
- Enrollment state
- CT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1982955837
- Multiple npi flag
- N
- Ccn
- 071536
- Associate id
- 9638323488
- Organization name
- LIFE CHOICE HOSPICE OF CONNECTICUT LLC
- Doing business as name
- COMPASSUS - GREATER CONNECTICUT
- Incorporation date
- 2011-05-19
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 100 CORPORATE PL
- Address line 2
- STE 205
- City
- ROCKY HILL
- State
- CT
- Zip code
- 060671803