- Enrollment id
- O20171025002959
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1275055774
- Multiple npi flag
- N
- Ccn
- 451502
- Associate id
- 4688940224
- Organization name
- LHCG CXIV LLC
- Doing business as name
- CHRISTUS HOSPICE AND PALLIATIVE CARE SPOHN
- Incorporation date
- 2017-07-12
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5151 FLYNN PKWY
- Address line 2
- STE 608
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114392