- Enrollment id
- O20080612000540
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619162195
- Multiple npi flag
- N
- Ccn
- 747061
- Associate id
- 9032280474
- Organization name
- LIFECARE OPTIONS HOME HEALTH SERVICES INC
- Incorporation date
- 2007-09-06
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 434 PARK GROVE LN
- City
- KATY
- State
- TX
- Zip code
- 774501571
- Practice location type
- HHA BRANCH