- Enrollment id
- O20091104000276
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1659512713
- Multiple npi flag
- N
- Ccn
- 747442
- Associate id
- 3072651553
- Organization name
- GIFTED HEALTH CARE, INC.
- Incorporation date
- 2009-04-23
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 811 S CENTRAL EXPRESSWAY
- Address line 2
- SUITE 235G
- City
- RICHARDSON
- State
- TX
- Zip code
- 750807415