- Enrollment id
- O20080429000169
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649462334
- Multiple npi flag
- N
- Ccn
- 743191
- Associate id
- 9436237674
- Organization name
- LUCENT HOME HEALTH LLC
- Doing business as name
- LUCENT HEALTH GROUP
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1255 W 15TH ST
- Address line 2
- STE 900
- City
- PLANO
- State
- TX
- Zip code
- 750754214