- Enrollment id
- O20200721000749
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1992241608
- Multiple npi flag
- N
- Ccn
- 971617
- Associate id
- 9638593973
- Organization name
- REAL COMFORT HEALTHCARE, INC
- Incorporation date
- 2017-01-14
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9100 SOUTHWEST FWY
- Address line 2
- STE 105-A
- City
- HOUSTON
- State
- TX
- Zip code
- 770741519