- Enrollment id
- O20070419000048
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1881735090
- Multiple npi flag
- N
- Ccn
- 747079
- Associate id
- 1850496985
- Organization name
- LOVING CARE HOME HEALTH LLC
- Doing business as name
- LOVING CARE HOME HEALTH LLC
- Incorporation date
- 2006-12-21
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5805 CALLAGHAN RD
- Address line 2
- STE 304
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782281129