- Enrollment id
- O20111024000772
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1891009700
- Multiple npi flag
- N
- Ccn
- 747816
- Associate id
- 2668645441
- Organization name
- HARBOR HOME HEALTH LP
- Incorporation date
- 2010-12-29
- Incorporation state
- TX
- Organization type structure
- OTHER
- Organization other type text
- LIMITED PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 11980 KIRBY DR
- Address line 2
- STE 120
- City
- HOUSTON
- State
- TX
- Zip code
- 770454860