- Enrollment id
- O20230629003479
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1629771571
- Multiple npi flag
- N
- Ccn
- 451600
- Associate id
- 3072972611
- Organization name
- HILL COUNTRY HOSPICE, LLC
- Doing business as name
- METHODIST HEALTHCARE HILL COUNTRY HOSPICE & FAMILY CARE
- Incorporation date
- 2023-03-14
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 808 REUBEN ST
- Address line 2
- BRUNE BLDG, 2ND FLOOR
- City
- FREDERICKSBURG
- State
- TX
- Zip code
- 786244484