- Enrollment id
- O20100210000466
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1194051573
- Multiple npi flag
- N
- Ccn
- 671664
- Associate id
- 3072561570
- Organization name
- NORTH AMERICAN HOSPICE LLC
- Doing business as name
- HIGHLAND HOSPICE
- Incorporation date
- 2004-07-20
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10701 CORPORATE DR
- Address line 2
- STE 155
- City
- STAFFORD
- State
- TX
- Zip code
- 774774031