- Enrollment id
- O20110830000348
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760788418
- Multiple npi flag
- N
- Ccn
- 747833
- Associate id
- 3375713324
- Organization name
- EDIHUMBLE HOME HEALTHCARE INCORPORATED
- Incorporation date
- 2011-01-31
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8303 SOUTHWEST FWY
- Address line 2
- STE 105
- City
- HOUSTON
- State
- TX
- Zip code
- 770741606