- Enrollment id
- O20101012000283
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568798072
- Multiple npi flag
- N
- Ccn
- 747564
- Associate id
- 5698967438
- Organization name
- EXPEDIENT HOME HEALTH SERVICES, LLC
- Doing business as name
- NEW TIMES HOME CARE
- Incorporation date
- 2009-10-09
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 205 E CAMP WISDOM RD
- Address line 2
- STE D
- City
- DUNCANVILLE
- State
- TX
- Zip code
- 751162773