- Enrollment id
- O20200528003409
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1154960987
- Multiple npi flag
- N
- Ccn
- 971599
- Associate id
- 2466882097
- Organization name
- TRANSCEND HOSPICE 13 LLC
- Doing business as name
- ST ANTHONY'S HOSPICE
- Incorporation date
- 2019-12-26
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 612 W NOLANA AVE
- Address line 2
- STE 410
- City
- MCALLEN
- State
- TX
- Zip code
- 785043089