- Enrollment id
- O20170103000885
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1336523620
- Multiple npi flag
- N
- Ccn
- 741723
- Associate id
- 0547541690
- Organization name
- HOSPICE PROFESSIONALS INC
- Incorporation date
- 2015-06-18
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2611 N BELT LINE RD
- Address line 2
- STE 207
- City
- SUNNYVALE
- State
- TX
- Zip code
- 751829357