- Enrollment id
- O20050630000765
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043208010
- Multiple npi flag
- N
- Ccn
- 367336
- Associate id
- 9638089030
- Organization name
- HOME CARE NETWORK, INC.
- Incorporation date
- 1994-01-25
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 731 E MAIN ST
- Address line 2
- STE 17D
- City
- JACKSON
- State
- OH
- Zip code
- 456402100