- Enrollment id
- O20190201001169
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1821526427
- Multiple npi flag
- N
- Ccn
- 971531
- Associate id
- 7113264904
- Organization name
- MYFAMILY HOSPICE LLC
- Incorporation date
- 2017-05-10
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10707 CORPORATE DR
- Address line 2
- STE 120
- City
- STAFFORD
- State
- TX
- Zip code
- 774774016