- Enrollment id
- O20110524000673
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033416706
- Multiple npi flag
- N
- Ccn
- 368451
- Associate id
- 8820274012
- Organization name
- TRINITY HOME HEALTH, LLC.
- Incorporation date
- 2011-02-10
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2242 SOUTH HAMILTON ROAD
- Address line 2
- STE 202
- City
- COLUMBUS
- State
- OH
- Zip code
- 43232