- Enrollment id
- O20230505001138
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1780391169
- Multiple npi flag
- N
- Ccn
- A91670
- Associate id
- 5597120055
- Organization name
- STELLAR HOSPICE & PALLIATIVE CARE LLC
- Incorporation date
- 2022-11-03
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6220 WESTPARK DR
- Address line 2
- STE 106D
- City
- HOUSTON
- State
- TX
- Zip code
- 770577371