- Enrollment id
- O20101022000331
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1134351273
- Multiple npi flag
- N
- Ccn
- 747548
- Associate id
- 3476746454
- Organization name
- BETHANYA HOME HEALTH INC
- Doing business as name
- APEX HOME CARE
- Incorporation date
- 2009-07-30
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2840 KELLER SPRINGS ROAD
- Address line 2
- SUITE 901
- City
- CARROLLTON
- State
- TX
- Zip code
- 750064876