- Enrollment id
- O20050510000513
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1275644619
- Multiple npi flag
- N
- Ccn
- 679508
- Associate id
- 3375583214
- Organization name
- WC HOME HEALTH SERVICES
- Doing business as name
- TRANSCARE
- Incorporation date
- 2004-06-25
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 830 JULIE RIVERS DR
- Address line 2
- STE 301
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774782877