- Enrollment id
- O20100518000361
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043533524
- Multiple npi flag
- N
- Ccn
- 368483
- Associate id
- 0345379038
- Organization name
- GREAT HOME HEALTHCARE, LLC
- Incorporation date
- 2010-01-10
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2999 E. DUBLIN GRANVILLE RD.
- Address line 2
- SUITE 215
- City
- COLUMBUS
- State
- OH
- Zip code
- 43231