- Enrollment id
- O20110805000815
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1447567391
- Multiple npi flag
- N
- Ccn
- 747695
- Associate id
- 5890964902
- Organization name
- UNITED PLUS HOME HEALTH LLC
- Incorporation date
- 2010-09-03
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 17330 PRESTON RD
- Address line 2
- STE 150A-2
- City
- DALLAS
- State
- TX
- Zip code
- 752525728