- Enrollment id
- O20210722002653
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1013501758
- Multiple npi flag
- N
- Ccn
- 971755
- Associate id
- 2668875071
- Organization name
- JOMEL PALLIATIVE AND HOSPICE CARE INC
- Incorporation date
- 2021-02-23
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7070 KNIGHTS CT
- Address line 2
- STE 1601
- City
- MISSOURI CITY
- State
- TX
- Zip code
- 774595551