- Enrollment id
- O20150904000577
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1316327950
- Multiple npi flag
- N
- Ccn
- 741599
- Associate id
- 5698081602
- Organization name
- COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS LLC
- Incorporation date
- 2015-04-16
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3201 CHERRY RIDGE DR
- Address line 2
- STE C300
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782304826