- Enrollment id
- O20170817003801
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1083020093
- Multiple npi flag
- N
- Ccn
- 971570
- Associate id
- 2365714870
- Organization name
- TRIO HOSPICE INC
- Incorporation date
- 2014-07-11
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4444 CORONA DR
- Address line 2
- STE 205B
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114324