- Enrollment id
- O20100526000187
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1205845005
- Multiple npi flag
- N
- Ccn
- 147632
- Associate id
- 5597891630
- Organization name
- DARIEN HOME HEALTH CARE, INC.
- Incorporation date
- 1995-09-11
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1510 PLAINFIELD RD
- Address line 2
- STE 7
- City
- DARIEN
- State
- IL
- Zip code
- 605614919