- Enrollment id
- O20220714000310
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1386218600
- Multiple npi flag
- N
- Ccn
- A91603
- Associate id
- 8224419874
- Organization name
- TRANSCEND HOSPICE 21 LLC
- Doing business as name
- ETERNA CARE HOSPICE
- Incorporation date
- 2020-10-20
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 8627 CINNAMON CREEK DR
- Address line 2
- STE 302W
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782401480