- Enrollment id
- O20170425003135
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1881137800
- Multiple npi flag
- N
- Ccn
- 741711
- Associate id
- 6305123522
- Organization name
- PREMIER CARE GROUP INC
- Doing business as name
- TRUCARE HOSPICE AND PALLIATIVE SERVICES
- Incorporation date
- 2016-10-10
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 346
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786230