- Enrollment id
- O20080825000057
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1629252903
- Multiple npi flag
- N
- Ccn
- 747089
- Associate id
- 2264507391
- Organization name
- VINAYAKA ASSOCIATES, LLC
- Doing business as name
- A & S HOME HEALTH CARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1701 N COLLINS BLVD
- Address line 2
- STE 3000D
- City
- RICHARDSON
- State
- TX
- Zip code
- 750803564