- Enrollment id
- O20071211000257
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821128414
- Multiple npi flag
- N
- Ccn
- 679073
- Associate id
- 6103915343
- Organization name
- ASSURED CARE HEALTH SERVICES L.L.C
- Doing business as name
- ASSURED CARE HEALTH SERVICES
- Incorporation date
- 2000-11-22
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 101 SOUTHWESTERN BLVD
- Address line 2
- STE 209
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774783548