- Enrollment id
- O20090514000241
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568634962
- Multiple npi flag
- N
- Ccn
- 747488
- Associate id
- 5799834123
- Organization name
- BROOKS HOME CARE SERVICES INC
- Doing business as name
- BAKERS HOME CARE SERVICES
- Incorporation date
- 2007-10-22
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9304 FOREST LN
- Address line 2
- STE N165A
- City
- DALLAS
- State
- TX
- Zip code
- 752436238