- Enrollment id
- O20230927004272
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1649951500
- Multiple npi flag
- N
- Ccn
- A91727
- Associate id
- 6507210317
- Organization name
- MISSION CARE HOSPICE LLC
- Incorporation date
- 2023-01-18
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1201 N WATSON RD
- Address line 2
- STE 280
- City
- ARLINGTON
- State
- TX
- Zip code
- 760066222