- Enrollment id
- O20111230000146
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1710966171
- Multiple npi flag
- N
- Ccn
- 459384
- Associate id
- 7012183718
- Organization name
- TRIUMPHANT INVESTMENTS INC
- Doing business as name
- MAXIMUM CARE
- Incorporation date
- 2011-04-11
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10777 WESTHEIMER RD
- Address line 2
- STE 1100
- City
- HOUSTON
- State
- TX
- Zip code
- 770423462