- Enrollment id
- O20171025000306
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1548785843
- Multiple npi flag
- N
- Ccn
- 677814
- Associate id
- 2365718053
- Organization name
- LHCG CXIII, LLC
- Doing business as name
- CHRISTUS HOMECARE SPOHN
- Incorporation date
- 2017-07-12
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5151 FLYNN PKWY
- Address line 2
- STE 207
- City
- CORPUS CHRISTI
- State
- TX
- Zip code
- 784114318