- Enrollment id
- O20150130001838
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1326454729
- Multiple npi flag
- N
- Ccn
- 741578
- Associate id
- 5496079063
- Organization name
- CHARLIN HOSPICE LLC
- Doing business as name
- CHARLIN HOSPICE
- Incorporation date
- 2014-06-24
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 400 CHISHOLM PLACE
- Address line 2
- SUITE 400
- City
- PLANO
- State
- TX
- Zip code
- 75075