- Enrollment id
- O20170726003204
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1235679580
- Multiple npi flag
- N
- Ccn
- 369201
- Associate id
- 7315217148
- Organization name
- BRIGHT HOME HEALTHCARE SERVICES LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1150 MORSE RD
- Address line 2
- STE 107
- City
- COLUMBUS
- State
- OH
- Zip code
- 432296327