- Enrollment id
- O20230113001089
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215681937
- Multiple npi flag
- N
- Ccn
- 748158
- Associate id
- 2365813185
- Organization name
- BILLET HOME HEALTH INC DALLAS
- Incorporation date
- 2021-10-18
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8500 N STEMMONS FWY
- Address line 2
- STE 2005A
- City
- DALLAS
- State
- TX
- Zip code
- 752473967