- Enrollment id
- O20210210002367
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1790398857
- Multiple npi flag
- N
- Ccn
- 971662
- Associate id
- 6103231832
- Organization name
- ZENITH PALLIATIVE CARE INC
- Incorporation date
- 2020-08-27
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8700 COMMERCE PARK DR
- Address line 2
- STE 219
- City
- HOUSTON
- State
- TX
- Zip code
- 770367431