- Enrollment id
- O20110526000725
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1356675755
- Multiple npi flag
- N
- Ccn
- 747791
- Associate id
- 6204013329
- Organization name
- ASSURANCE HOME CARE SOLUTIONS LLC
- Incorporation date
- 2009-09-01
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1919 S SHILOH RD
- Address line 2
- STE 430
- City
- GARLAND
- State
- TX
- Zip code
- 750428238