- Enrollment id
- O20051110000453
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255532586
- Multiple npi flag
- N
- Ccn
- 368177
- Associate id
- 3870511595
- Organization name
- EASTON HEALTHCARE AGENCY, INC
- Incorporation date
- 2002-03-11
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2021 E. DUBLIN-GRANVILLE RD.
- Address line 2
- STE 290
- City
- COLUMBUS
- State
- OH
- Zip code
- 43229