- Enrollment id
- O20181213003018
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1114430014
- Multiple npi flag
- N
- Ccn
- 971514
- Associate id
- 1052656345
- Organization name
- CARING HOSPICE II, LLC
- Incorporation date
- 2017-11-06
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2440 TEXAS PKWY
- Address line 2
- STE 370I
- City
- MISSOURI CITY
- State
- TX
- Zip code
- 774894000