- Enrollment id
- O20221017003370
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1528727286
- Multiple npi flag
- N
- Ccn
- A91594
- Associate id
- 8820464878
- Organization name
- UNICARE HOSPICE INC
- Doing business as name
- UNICARE HEALTH SERVICES
- Incorporation date
- 2021-10-27
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8111 LBJ FWY
- Address line 2
- STE 970
- City
- DALLAS
- State
- TX
- Zip code
- 752511338