- Enrollment id
- O20030317000014
- Enrollment state
- CT
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1073529566
- Multiple npi flag
- N
- Ccn
- 077041
- Associate id
- 6507775749
- Organization name
- HARTFORD HEALTHCARE AT HOME, INC
- Doing business as name
- HARTFORD HEALTHCARE AT HOME
- Incorporation date
- 1905-12-05
- Incorporation state
- CT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 60 HARTLAND ST
- City
- EAST HARTFORD
- State
- CT
- Zip code
- 061083250