- Enrollment id
- O20180716002788
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1659889871
- Multiple npi flag
- N
- Ccn
- 741784
- Associate id
- 6103173679
- Organization name
- VARCO HOSPICE LLC
- Incorporation date
- 2017-12-29
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1880 S DAIRY ASHFORD RD
- Address line 2
- STE 401
- City
- HOUSTON
- State
- TX
- Zip code
- 770774777