- Enrollment id
- O20050610000290
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1023098399
- Multiple npi flag
- N
- Ccn
- 677137
- Associate id
- 6901840909
- Organization name
- PREFERRED HOME HEALTH LP
- Doing business as name
- ENHABIT HOME HEATLH
- Organization type structure
- PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 350 PINE ST
- Address line 2
- STE 305
- City
- BEAUMONT
- State
- TX
- Zip code
- 777012417