- Enrollment id
- O20161020002132
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1609260900
- Multiple npi flag
- N
- Ccn
- 741666
- Associate id
- 1355629692
- Organization name
- NOVEL HOSPICE CARE INC
- Doing business as name
- NOVEL HOSPICE CARE
- Incorporation date
- 2015-02-19
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7920 BELT LINE RD
- Address line 2
- STE 255A
- City
- DALLAS
- State
- TX
- Zip code
- 75254