- Enrollment id
- O20110215000744
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1982833802
- Multiple npi flag
- N
- Ccn
- 671769
- Associate id
- 7517147036
- Organization name
- HOSANNA HOSPICE L.L.C.
- Doing business as name
- ST JOSEPH'S HOSPICE CARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 219 S CAGE BLVD
- Address line 2
- STE 15
- City
- PHARR
- State
- TX
- Zip code
- 785774807