- Enrollment id
- O20070803000019
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1346329257
- Multiple npi flag
- N
- Ccn
- 743154
- Associate id
- 3476644550
- Organization name
- REDEEMED HEALTH SERVICES, INC
- Incorporation date
- 2006-05-26
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11104 W AIRPORT BLVD
- Address line 2
- STE 220
- City
- STAFFORD
- State
- TX
- Zip code
- 774773016