- Enrollment id
- O20090908000157
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467692483
- Multiple npi flag
- N
- Ccn
- 747575
- Associate id
- 8527113042
- Organization name
- CGN HEALTHCARE SERVICES INC.
- Doing business as name
- AMAZON HEALTH SERVICES
- Incorporation date
- 2006-12-12
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10777 WESTHEIMER RD
- Address line 2
- STE 1100
- City
- HOUSTON
- State
- TX
- Zip code
- 770423462
- Practice location type
- HHA BRANCH