- Enrollment id
- O20080603000068
- Enrollment state
- PA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1205801156
- Multiple npi flag
- N
- Ccn
- 397747
- Associate id
- 4284704255
- Organization name
- EXPERT HOME CARE, INC
- Incorporation date
- 1999-10-29
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1200 BUSTLETON PIKE 14
- City
- FEASTERVILLE TREVOSE
- State
- PA
- Zip code
- 190534109