- Enrollment id
- O20110610000396
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1811153513
- Multiple npi flag
- N
- Ccn
- 677865
- Associate id
- 0547447971
- Organization name
- PRIMEWAY HEALTHCARE SERVICES, INC.
- Doing business as name
- PRIMEWAY HEALTHCARE SERVICES INC
- Incorporation date
- 2006-03-14
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9894 BISSONNET ST
- Address line 2
- STE 750
- City
- HOUSTON
- State
- TX
- Zip code
- 770368272
- Practice location type
- HHA BRANCH