- Enrollment id
- O20160324001706
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1356728893
- Multiple npi flag
- N
- Ccn
- 971548
- Associate id
- 8426355082
- Organization name
- STAIRWAYS HOSPICE INC
- Doing business as name
- MISSION HEARTS HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3132 W MILLER RD
- Address line 2
- STE D
- City
- GARLAND
- State
- TX
- Zip code
- 750416108