- Enrollment id
- O20080312000086
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1578647020
- Multiple npi flag
- N
- Ccn
- 747092
- Associate id
- 1557446713
- Organization name
- CALVARY HEALTH CARE, INC.
- Doing business as name
- CARECHOICE
- Incorporation date
- 2006-05-24
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2840 KELLER SPRINGS RD
- Address line 2
- STE 801
- City
- CARROLLTON
- State
- TX
- Zip code
- 750064875