- Enrollment id
- O20150326002284
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1831598598
- Multiple npi flag
- N
- Ccn
- 741648
- Associate id
- 8123345386
- Organization name
- ASSUMPTION HOSPICE INC
- Doing business as name
- LIVING HOPE HOSPICE WEST
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10707 CORPORATE DR
- Address line 2
- STE 108
- City
- STAFFORD
- State
- TX
- Zip code
- 774774001