- Enrollment id
- O20181016002576
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1629569686
- Multiple npi flag
- N
- Ccn
- 741790
- Associate id
- 2264784404
- Organization name
- VMS PALLIATIVE HOSPICE CARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 550 GREENS PKWY
- Address line 2
- STE 100
- City
- HOUSTON
- State
- TX
- Zip code
- 770674538