- Enrollment id
- O20170407001041
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1124477336
- Multiple npi flag
- N
- Ccn
- 679394
- Associate id
- 2062798986
- Organization name
- SIBLINGS HEALTHCARE SOLUTIONS LLC
- Incorporation date
- 2016-04-11
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2646 S LOOP W
- Address line 2
- STE 355
- City
- HOUSTON
- State
- TX
- Zip code
- 770545615