- Enrollment id
- O20060920000145
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1578572848
- Multiple npi flag
- N
- Ccn
- 679658
- Associate id
- 9133124431
- Organization name
- STEADFAST HOME COMPANION SERVICES, INC
- Incorporation date
- 2004-09-20
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9894 BISSONNET ST
- Address line 2
- STE 488
- City
- HOUSTON
- State
- TX
- Zip code
- 770368294