- Enrollment id
- O20130125000010
- Enrollment state
- KY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1114279510
- Multiple npi flag
- N
- Ccn
- 187000
- Associate id
- 9133286990
- Organization name
- SAINT JOSEPH-ANC HOME CARE SERVICES, LLC
- Doing business as name
- VNA HEALTH AT HOME
- Incorporation date
- 2008-10-13
- Incorporation state
- KY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5111 COMMERCE CROSSINGS DR
- Address line 2
- STE 110
- City
- LOUISVILLE
- State
- KY
- Zip code
- 402292192
- Practice location type
- HHA BRANCH