- Enrollment id
- O20211130001048
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1235710591
- Multiple npi flag
- N
- Ccn
- 748053
- Associate id
- 7810387289
- Organization name
- SHEENA HEALTH CARE SERVICES INC
- Incorporation date
- 2021-04-16
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 337 OAKS TRL
- Address line 2
- STE 101A
- City
- GARLAND
- State
- TX
- Zip code
- 750438028