- Enrollment id
- O20190212002962
- Enrollment state
- AL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1225513278
- Multiple npi flag
- N
- Ccn
- 017879
- Associate id
- 4880932110
- Organization name
- COMFORT CARE HOME HEALTH OF WEST ALABAMA, LLC
- Doing business as name
- AVEANNA HOME HEALTH
- Incorporation date
- 2017-08-21
- Incorporation state
- AL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1306 N WASHINGTON ST
- City
- LIVINGSTON
- State
- AL
- Zip code
- 354705408