- Enrollment id
- O20250826001455
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1306648290
- Multiple npi flag
- N
- Ccn
- E21506
- Associate id
- 4981104791
- Organization name
- COMPASSIONATE CARE HOSPICE AGENCY LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 275I
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786245