- Enrollment id
- O20171026001203
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1689119471
- Multiple npi flag
- N
- Ccn
- 747817
- Associate id
- 6406122092
- Organization name
- HOUSTON VITAL SIGNS, INC.
- Doing business as name
- YOUR CHOICE HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11104 W AIRPORT BLVD
- Address line 2
- STE 110
- City
- STAFFORD
- State
- TX
- Zip code
- 774773016