- Enrollment id
- O20250221002065
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1003791112
- Multiple npi flag
- N
- Ccn
- 369408
- Associate id
- 6103346077
- Organization name
- MHHC PLUS LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6161 BUSCH BLVD
- Address line 2
- STE 84B
- City
- COLUMBUS
- State
- OH
- Zip code
- 432292548
- Practice location type
- HHA BRANCH