- Enrollment id
- O20190801003030
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1922591890
- Multiple npi flag
- N
- Ccn
- 971545
- Associate id
- 6406182153
- Organization name
- ANCHORAGE HOSPICE, INC.
- Doing business as name
- EXCELLENCE BILLING & CONSULTING
- Organization type structure
- OTHER
- Organization other type text
- SOLE OWNER
- Proprietary nonprofit
- P
- Address line 1
- 3201 CHERRY RIDGE DR
- Address line 2
- STE B206
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782304823