- Enrollment id
- O20041110001134
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1326080631
- Multiple npi flag
- N
- Ccn
- 457915
- Associate id
- 7113980038
- Organization name
- APOSTLE HOME HEALTHCARE, PLLC
- Incorporation date
- 2004-07-19
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 274 PIN OAK
- City
- LIVINGSTON
- State
- TX
- Zip code
- 773517728