- Enrollment id
- O20210303002801
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1942827837
- Multiple npi flag
- N
- Ccn
- A91529
- Associate id
- 1153737846
- Organization name
- TRANSCEND HOSPICE 19 LLC
- Doing business as name
- THE GUARDIAN HOSPICE COMPANY OF TEXAS
- Incorporation date
- 2020-06-23
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 8627 CINNAMON CREEK DR
- Address line 2
- STE 302U
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782401480