- Enrollment id
- O20250619001952
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1508697715
- Multiple npi flag
- N
- Ccn
- 457955
- Associate id
- 6709397375
- Organization name
- TRADITIONAL CARE HOME HEALTH LLC
- Doing business as name
- NIGHTINGALE SERVICES
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6220 WESTPARK DR
- Address line 2
- SUITE 220
- City
- HOUSTON
- State
- TX
- Zip code
- 770577386