- Enrollment id
- O20210203001301
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1912505140
- Multiple npi flag
- N
- Ccn
- 971701
- Associate id
- 4385058387
- Organization name
- DFW PLUS HOSPICE CARE LLC
- Doing business as name
- BRIDGES HOSPICE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2245 VALWOOD PKWY
- City
- FARMERS BRANCH
- State
- TX
- Zip code
- 752343407