- Enrollment id
- O20200709003782
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1003229642
- Multiple npi flag
- N
- Ccn
- 748101
- Associate id
- 5092000513
- Organization name
- TRIO HOME HEALTH-RURAL INC
- Incorporation date
- 2014-05-12
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4444 CORONA DR
- Address line 2
- STE 205
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114325