- Enrollment id
- O20120806000869
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1720376650
- Multiple npi flag
- N
- Ccn
- 671675
- Associate id
- 1951557008
- Organization name
- ANGEL CARE PLUS HOSPICE LLC
- Doing business as name
- ANGEL CARE HOSPICE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1350 E ARAPAHO RD
- Address line 2
- STE 207
- City
- RICHARDSON
- State
- TX
- Zip code
- 750812453