- Enrollment id
- O20070815000143
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1205051497
- Multiple npi flag
- N
- Ccn
- 108480
- Associate id
- 8628160025
- Organization name
- DOCTOR'S CHOICE HOME CARE, LLC
- Doing business as name
- AVEANNA HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7220 BENEVA RD
- City
- SARASOTA
- State
- FL
- Zip code
- 342382806
- Practice location type
- HHA BRANCH