- Enrollment id
- O20210422003026
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255957619
- Multiple npi flag
- N
- Ccn
- 748080
- Associate id
- 4183032527
- Organization name
- TWO CIRCLES HOME HEALTH CARE, INC.
- Incorporation date
- 2020-06-12
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1908 ROYAL LN
- Address line 2
- STE 300
- City
- DALLAS
- State
- TX
- Zip code
- 752290265