- Enrollment id
- O20201119003513
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144841602
- Multiple npi flag
- N
- Ccn
- 369301
- Associate id
- 8729499983
- Organization name
- ALLCARE HOME HEALTH AGENCY LLC
- Incorporation date
- 2020-05-01
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5979 E LIVINGSTON AVE
- Address line 2
- STE 105
- City
- COLUMBUS
- State
- OH
- Zip code
- 432322908