- Enrollment id
- O20121105000047
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1396091302
- Multiple npi flag
- N
- Ccn
- 671764
- Associate id
- 5799936530
- Organization name
- HARBOR HOSPICE OF RICHMOND, LP
- Incorporation date
- 2012-07-26
- Incorporation state
- TX
- Organization type structure
- OTHER
- Organization other type text
- LIMITED PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 235
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786185