- Enrollment id
- O20230601003144
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1104499391
- Multiple npi flag
- N
- Ccn
- A91690
- Associate id
- 7810354081
- Organization name
- HEARTS PALLIATIVE & HOSPICE CARE, LLC
- Incorporation date
- 2021-07-10
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 9894 BISSONNET ST
- Address line 2
- STE 395
- City
- HOUSTON
- State
- TX
- Zip code
- 770368241