- Enrollment id
- O20080425000122
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1861563173
- Multiple npi flag
- N
- Ccn
- 459315
- Associate id
- 7719065184
- Organization name
- OUR HOMECARE,INC
- Doing business as name
- B&D OUR HOMECARE DBA OUR HOMECARE INC
- Incorporation date
- 1997-01-21
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10300 N CENTRAL EXPY
- Address line 2
- STE 212
- City
- DALLAS
- State
- TX
- Zip code
- 752318662