- Enrollment id
- O20090729000746
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1174753636
- Multiple npi flag
- N
- Ccn
- 239120
- Associate id
- 5496808008
- Organization name
- NATIONWIDE HOME HEALTH CARE INC
- Incorporation date
- 2009-04-30
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 26645 W 12 MILE RD
- Address line 2
- SUITE #212
- City
- SOUTHFIELD
- State
- MI
- Zip code
- 480347812