- Enrollment id
- O20050711000517
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1154427797
- Multiple npi flag
- N
- Ccn
- 677856
- Associate id
- 9032145255
- Organization name
- VAP HOME HEALTH CARE, INC.
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9304 FOREST LN
- Address line 2
- STE S-238
- City
- DALLAS
- State
- TX
- Zip code
- 752436238