- Enrollment id
- O20150904002059
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1538551759
- Multiple npi flag
- N
- Ccn
- 741664
- Associate id
- 9032425087
- Organization name
- CIMA HOSPICE OF CORPUS CHRISTI LLC
- Doing business as name
- ELARA CARING
- Incorporation date
- 2015-02-03
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 4444 CORONA DR
- Address line 2
- STE 234
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114321