- Enrollment id
- O20090327000151
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1285801670
- Multiple npi flag
- N
- Ccn
- 671658
- Associate id
- 2163589623
- Organization name
- CORNERSTONE HOSPICE CARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3235 N MESQUITE DR
- Address line 2
- # 100
- City
- MESQUITE
- State
- TX
- Zip code
- 751504044