- Enrollment id
- O20170109000814
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144349952
- Multiple npi flag
- N
- Ccn
- 459424
- Associate id
- 5496740201
- Organization name
- KARNES COUNTY HOSPITAL DISTRICT
- Doing business as name
- KAISER HOME HEALTH SERVICES
- Organization type structure
- OTHER
- Organization other type text
- HOSPITAL DISTRICT
- Proprietary nonprofit
- P
- Address line 1
- 3349 S HWY 181
- Address line 2
- SUITE 1
- City
- KENEDY
- State
- TX
- Zip code
- 781195268