- Enrollment id
- O20090828000576
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1487898078
- Multiple npi flag
- N
- Ccn
- 671706
- Associate id
- 4385799238
- Organization name
- CORPUS CHRISTI HEALTH SOLUTIONS, INC.
- Doing business as name
- CORPUS CHRISTI HOSPICE
- Incorporation date
- 2009-04-23
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6464 SAVOY DR
- Address line 2
- STE 520
- City
- HOUSTON
- State
- TX
- Zip code
- 770363395