- Enrollment id
- O20050510000087
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518902204
- Multiple npi flag
- N
- Ccn
- 677889
- Associate id
- 0941240915
- Organization name
- TREND HEALTH CARE INC
- Doing business as name
- TREND HEALTH CARE INC
- Incorporation date
- 2005-01-01
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11110 PETAL ST
- Address line 2
- STE 550
- City
- DALLAS
- State
- TX
- Zip code
- 752382431
- Practice location type
- HHA BRANCH