- Enrollment id
- O20200813003800
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497397749
- Multiple npi flag
- N
- Ccn
- 748019
- Associate id
- 7012333594
- Organization name
- ZAPHIRO HOME HEALTH LLC
- Incorporation date
- 2019-05-14
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1880 S DAIRY ASHFORD RD
- Address line 2
- STE 545
- City
- HOUSTON
- State
- TX
- Zip code
- 770774847