- Enrollment id
- O20230831004410
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1053018572
- Multiple npi flag
- N
- Ccn
- A91778
- Associate id
- 7911360375
- Organization name
- ASEPTIC HOSPICE AND PALLIATIVE HEALTH CARE LLC
- Incorporation date
- 2023-01-25
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- N
- Address line 1
- 1505 HIGHWAY 6 S
- Address line 2
- STE 240
- City
- HOUSTON
- State
- TX
- Zip code
- 770771725