- Enrollment id
- O20160408001913
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1801289335
- Multiple npi flag
- N
- Ccn
- 741619
- Associate id
- 4587962493
- Organization name
- AMERICAN MEDICAL HOSPICE CARE LLC.
- Doing business as name
- AMERICAN MEDICAL HOSPICE & PALLIATIVE CARE
- Incorporation date
- 2015-03-06
- Incorporation state
- TX
- Organization type structure
- OTHER
- Organization other type text
- SINGLE MEMBER LLC
- Proprietary nonprofit
- P
- Address line 1
- 5805 CALLAGHAN RD
- Address line 2
- STE 300
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782281127