- Enrollment id
- O20110831000474
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1285936799
- Multiple npi flag
- N
- Ccn
- 747730
- Associate id
- 7719157742
- Organization name
- RESERVED HOME HEALTH CARE, LLC
- Incorporation date
- 2010-12-02
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10701 CORPORATE DR
- Address line 2
- STE 392
- City
- STAFFORD
- State
- TX
- Zip code
- 774774036