- Enrollment id
- O20240501003534
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144090812
- Multiple npi flag
- N
- Ccn
- 369420
- Associate id
- 5193165520
- Organization name
- WECARE HOME HEALTH CARE LLC
- Incorporation date
- 2023-09-05
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2101 S HAMILTON RD
- Address line 2
- STE 107
- City
- COLUMBUS
- State
- OH
- Zip code
- 432324144
- Practice location type
- HHA BRANCH