- Enrollment id
- O20151222000134
- Enrollment state
- MT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1891162541
- Multiple npi flag
- N
- Ccn
- 271535
- Associate id
- 4789819780
- Organization name
- HOME HEALTH SERVICES, INC
- Doing business as name
- TREK HEALTHCARE
- Incorporation date
- 2013-01-25
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2445 S 3RD ST W
- Address line 2
- STE B
- City
- MISSOULA
- State
- MT
- Zip code
- 598011330