- Enrollment id
- O20230830003272
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760422554
- Multiple npi flag
- N
- Ccn
- 679616
- Associate id
- 5991168437
- Organization name
- VCM HEALTHCARE LLC
- Doing business as name
- ARAV HEALTHCARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1350 E ARAPAHO RD
- Address line 2
- STE 212
- City
- RICHARDSON
- State
- TX
- Zip code
- 750812453