- Enrollment id
- O20120105000107
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1548557101
- Multiple npi flag
- N
- Ccn
- 741546
- Associate id
- 1850567355
- Organization name
- HARBOR HOSPICE OF CORPUS CHRISTI
- Incorporation date
- 2011-06-15
- Incorporation state
- TX
- Organization type structure
- OTHER
- Organization other type text
- LIMITED PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 5151 FLYNN PKWY
- Address line 2
- STE 511
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114372