- Enrollment id
- O20190809002513
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1780157206
- Multiple npi flag
- N
- Ccn
- 971555
- Associate id
- 0446587612
- Organization name
- EPIC HOSPICE CARE LLC #2
- Doing business as name
- TRANSCEND HOSPICE
- Incorporation date
- 2018-08-29
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 8627 CINNAMON CREEK DR
- Address line 2
- STE 302I
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782401480