- Enrollment id
- O20220504002709
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1376214775
- Multiple npi flag
- N
- Ccn
- 971649
- Associate id
- 0446647762
- Organization name
- UNICARE PALLIATIVE & HOSPICE CARE LLC
- Incorporation date
- 2021-07-28
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 633 E FERNHURST DR
- Address line 2
- STE 1305
- City
- KATY
- State
- TX
- Zip code
- 774501590