- Enrollment id
- O20220304002151
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1427714138
- Multiple npi flag
- N
- Ccn
- A91744
- Associate id
- 6305230426
- Organization name
- YOUR CHOICE HOSPICE AND PALLIATIVE CARE INC
- Doing business as name
- YOUR CHOICE HOSPICE AND PALLIATIVE CARE
- Incorporation date
- 2021-11-04
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9100 SOUTHWEST FWY
- Address line 2
- STE 105-A
- City
- HOUSTON
- State
- TX
- Zip code
- 770741519