- Enrollment id
- O20110531000598
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255638508
- Multiple npi flag
- N
- Ccn
- 368442
- Associate id
- 7113104159
- Organization name
- COLUMBUS HOME HEALTH SERVICES
- Incorporation date
- 2012-06-27
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1150 MORSE RD
- Address line 2
- STE 101
- City
- COLUMBUS
- State
- OH
- Zip code
- 432296335
- Practice location type
- HHA BRANCH