- Enrollment id
- O20030922000049
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1831272541
- Multiple npi flag
- N
- Ccn
- 457985
- Associate id
- 1254242258
- Organization name
- MAXIMUM HOME HEALTH, LLC
- Incorporation date
- 2003-06-05
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1609 DAVENPORT ST
- Address line 2
- STE A
- City
- WESLACO
- State
- TX
- Zip code
- 785966543