- Enrollment id
- O20040902001109
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1326071119
- Multiple npi flag
- N
- Ccn
- 673197
- Associate id
- 4688640477
- Organization name
- JCARE HOME HEALTH AGENCY, LLC
- Incorporation date
- 2004-06-04
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2840 KELLER SPRINGS RD
- Address line 2
- STE 1001B
- City
- CARROLLTON
- State
- TX
- Zip code
- 750064876