- Enrollment id
- O20051109000454
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1902886278
- Multiple npi flag
- N
- Ccn
- 679044
- Associate id
- 8123083490
- Organization name
- HALLMARK HOMECARE, L.P.
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- OTHER
- Organization other type text
- LIMITED PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 14800 SAN PEDRO AVE
- Address line 2
- STE 200
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782323707