- Enrollment id
- O20170719004084
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144768367
- Multiple npi flag
- N
- Ccn
- 369209
- Associate id
- 6608146956
- Organization name
- DEPENDABLE HOME CARE LLC
- Incorporation date
- 2017-02-01
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3314 MORSE RD
- City
- COLUMBUS
- State
- OH
- Zip code
- 43231