- Enrollment id
- O20210331002845
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1194318865
- Multiple npi flag
- N
- Ccn
- 971670
- Associate id
- 3678980075
- Organization name
- CITY HOSPICE & PALLIATIVE CARE, LLC.
- Incorporation date
- 2021-02-10
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 120 ELDRIDGE RD
- Address line 2
- STE C
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774784640