- Enrollment id
- O20191226002128
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1194280826
- Multiple npi flag
- N
- Ccn
- 971603
- Associate id
- 0648604785
- Organization name
- SUNSET HEALTHCARE SERVICES, INC.
- Doing business as name
- SUNSET HEALTHCARE SERVICES
- Incorporation date
- 2019-01-27
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10103 FONDREN RD
- Address line 2
- STE 380
- City
- HOUSTON
- State
- TX
- Zip code
- 770964661