- Enrollment id
- O20200722001278
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1770102345
- Multiple npi flag
- N
- Ccn
- E21515
- Associate id
- 1658795737
- Organization name
- CONCIERGE HOSPICE AND PALLIATIVE CARE INC
- Doing business as name
- CONCIERGE HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6464 SAVOY DR
- Address line 2
- STE 520
- City
- HOUSTON
- State
- TX
- Zip code
- 770363395