- Enrollment id
- O20160107002870
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1053501528
- Multiple npi flag
- N
- Ccn
- 747578
- Associate id
- 2668786211
- Organization name
- ALL-AGES HOME HEALTH CARE, LLC
- Doing business as name
- MISSION CARE HOME HEALTH SERVICES
- Incorporation date
- 2015-02-24
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1201 N WATSON RD
- Address line 2
- STE 280
- City
- ARLINGTON
- State
- TX
- Zip code
- 760066222