- Enrollment id
- O20231113003214
- Enrollment state
- OR
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1134801806
- Multiple npi flag
- N
- Ccn
- 387039
- Associate id
- 9830546829
- Organization name
- BAY AREA HOME HEALTH OPERATIONS LLC
- Doing business as name
- OREGON COAST HOME HEALTH
- Incorporation date
- 2023-08-01
- Incorporation state
- OR
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 650 ANDERSON AVE
- Address line 2
- STE 650
- City
- COOS BAY
- State
- OR
- Zip code
- 974201672