- Enrollment id
- O20230705003518
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1770284135
- Multiple npi flag
- N
- Ccn
- 457216
- Associate id
- 6002275344
- Organization name
- HILL COUNTRY HOME HEALTH & HOSPICE, LLC
- Doing business as name
- METHODIST HEALTHCARE HILL COUNTRY HEALTHCARE AT HOME
- Incorporation date
- 2023-02-07
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 808 REUBEN ST
- Address line 2
- FL 2
- City
- FREDERICKSBURG
- State
- TX
- Zip code
- 786244484