- Enrollment id
- O20061102000237
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093801219
- Multiple npi flag
- N
- Ccn
- 237692
- Associate id
- 7416954573
- Organization name
- PARAGON HOME HEALTHCARE, INC.
- Incorporation date
- 2006-09-08
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 576 ROMENCE RD
- Address line 2
- STE 221
- City
- PORTAGE
- State
- MI
- Zip code
- 490243436