- Enrollment id
- O20041028000822
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518072917
- Multiple npi flag
- N
- Ccn
- 457823
- Associate id
- 0446212880
- Organization name
- TOTAL PATIENT CARE HOME HEALTH L.L.C.
- Doing business as name
- TOTAL PATIENT CARE HOME HEALTH
- Incorporation date
- 2004-06-01
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1701 N COLLINS BLVD
- Address line 2
- STE 3000B
- City
- RICHARDSON
- State
- TX
- Zip code
- 750803564