- Enrollment id
- O20211122002597
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1073194346
- Multiple npi flag
- N
- Ccn
- 748066
- Associate id
- 9133518665
- Organization name
- SHEEVON HEALTH CARE SERVICES INC
- Incorporation date
- 2021-04-01
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 337 OAKS TRL
- Address line 2
- STE 101B
- City
- GARLAND
- State
- TX
- Zip code
- 750438028