- Enrollment id
- O20211229000419
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1073281283
- Multiple npi flag
- N
- Ccn
- 369414
- Associate id
- 0244621373
- Organization name
- HEART OF HOME HEALTH CARE LLP
- Organization type structure
- PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 4889 SINCLAIR RD
- Address line 2
- STE 215 A
- City
- COLUMBUS
- State
- OH
- Zip code
- 43229
- Practice location type
- HHA BRANCH