- Enrollment id
- O20071018000056
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093836546
- Multiple npi flag
- N
- Ccn
- 368247
- Associate id
- 1557457843
- Organization name
- OHIOANS HOME HEALTHCARE, INC
- Incorporation date
- 2007-03-28
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 28276 KENSINGTON LN
- City
- PERRYSBURG
- State
- OH
- Zip code
- 435514178
- Practice location type
- HHA BRANCH