- Enrollment id
- O20180622002179
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1275644353
- Multiple npi flag
- N
- Ccn
- 451727
- Associate id
- 3577756329
- Organization name
- A*MED COMMUNITY HOSPICE- AUSTIN, LLC
- Doing business as name
- CHOICE HEALTH AT HOME
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5151 FLYNN PKWY
- Address line 2
- STE 301A
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114318