- Enrollment id
- O20231218004089
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1346939329
- Multiple npi flag
- N
- Ccn
- A91755
- Associate id
- 0042660938
- Organization name
- NEW STAR HOSPICE LLC
- Incorporation date
- 2023-04-13
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 275D
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786245