- Enrollment id
- O20210119002715
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1013527621
- Multiple npi flag
- N
- Ccn
- 971689
- Associate id
- 5092128751
- Organization name
- HUMMINGBIRD HOSPICE LLC
- Incorporation date
- 2020-07-16
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3201 CHERRY RIDGE DR
- Address line 2
- STE D400
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782304830