- Enrollment id
- O20040716000296
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093732893
- Multiple npi flag
- N
- Ccn
- 673193
- Associate id
- 1052390788
- Organization name
- MEGACARE HOME HEALTH SERVICES, INC.
- Doing business as name
- MEGACARE HOME HEALTH SERVICES
- Incorporation date
- 2003-12-11
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4606 FM 1960 RD W
- Address line 2
- STE 620
- City
- HOUSTON
- State
- TX
- Zip code
- 770694613