- Enrollment id
- O20231017002595
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1477250140
- Multiple npi flag
- N
- Ccn
- 679102
- Associate id
- 8921453598
- Organization name
- ACCENTCARE HOME HEALTH OF HOUSTON - SOUTH, LLC
- Incorporation date
- 2023-01-11
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 350
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786187