- Enrollment id
- O20150803000940
- Enrollment state
- AR
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215314299
- Multiple npi flag
- N
- Ccn
- 047172
- Associate id
- 0345261996
- Organization name
- AHM ACTION HOME HEALTH, LP
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- PARTNERSHIP
- Proprietary nonprofit
- P
- Address line 1
- 7325 MEESHOW DR
- Address line 2
- STE D
- City
- SPRINGDALE
- State
- AR
- Zip code
- 727625258