- Enrollment id
- O20141003001890
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1740602135
- Multiple npi flag
- N
- Ccn
- 741544
- Associate id
- 4981824455
- Organization name
- HOSPICE SPECIALTY INC
- Incorporation date
- 2021-12-31
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1220 SCOTT ST
- City
- LAREDO
- State
- TX
- Zip code
- 780406356