- Enrollment id
- O20210115002136
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1285273052
- Multiple npi flag
- N
- Ccn
- 971621
- Associate id
- 1355771981
- Organization name
- TRANSCEND HOSPICE LLC
- Incorporation date
- 2019-10-19
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3201 CHERRY RIDGE DR
- Address line 2
- STE D400
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782304820