- Enrollment id
- O20051105000355
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619914579
- Multiple npi flag
- N
- Ccn
- 679212
- Associate id
- 5698793859
- Organization name
- DIMENSION HEALTHCARE SERVICES, INC
- Incorporation date
- 2002-02-08
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6464 SAVOY DR
- Address line 2
- STE 825
- City
- HOUSTON
- State
- TX
- Zip code
- 770363390