- Enrollment id
- O20150508002175
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1861813172
- Multiple npi flag
- N
- Ccn
- 741681
- Associate id
- 4981923117
- Organization name
- GLOBAL HOSPICE CARE INC
- Doing business as name
- THREE OAKS HOSPICE
- Incorporation date
- 2014-08-09
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 350 PINE ST
- Address line 2
- STE 335
- City
- BEAUMONT
- State
- TX
- Zip code
- 777012454