- Enrollment id
- O20050930000378
- Enrollment state
- CO
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215928726
- Multiple npi flag
- N
- Ccn
- 067459
- Associate id
- 2567497217
- Organization name
- COMPASSIONATE HOME HEALTH CARE, LLC
- Incorporation date
- 2005-09-19
- Incorporation state
- CO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 11940 QUAY ST
- City
- BROOMFIELD
- State
- CO
- Zip code
- 800202817