- Enrollment id
- O20220322003112
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467024182
- Multiple npi flag
- N
- Ccn
- 748047
- Associate id
- 0143615468
- Organization name
- VARCO HOME HEALTH, LLC
- Incorporation date
- 2021-06-24
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1880 S DAIRY ASHFORD RD
- Address line 2
- STE 401
- City
- HOUSTON
- State
- TX
- Zip code
- 770774777
- Practice location type
- HHA BRANCH