- Enrollment id
- O20110811000729
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1245521103
- Multiple npi flag
- N
- Ccn
- 679428
- Associate id
- 1951570720
- Organization name
- EH HOME HEALTH OF DFW, LLC
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1501 HUGHES RD
- Address line 2
- STE 100
- City
- GRAPEVINE
- State
- TX
- Zip code
- 760517428