- Enrollment id
- O20230223000726
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1023755022
- Multiple npi flag
- N
- Ccn
- A91651
- Associate id
- 6103299086
- Organization name
- ADIRA HOSPICE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1350 E ARAPAHO RD
- Address line 2
- STE 236A
- City
- RICHARDSON
- State
- TX
- Zip code
- 750812453