- Enrollment id
- O20211104000438
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1356973101
- Multiple npi flag
- N
- Ccn
- A91730
- Associate id
- 0941698302
- Organization name
- ABUNDANT HOSPICE AND PALLIATIVE CARE INC
- Doing business as name
- ABUNDANT HOSPICE AND PALLIATIVE CARE
- Incorporation date
- 2020-02-10
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9100 SOUTHWEST FWY
- Address line 2
- STE 235
- City
- HOUSTON
- State
- TX
- Zip code
- 770741519