- Enrollment id
- O20110719000183
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255639373
- Multiple npi flag
- N
- Ccn
- 368465
- Associate id
- 8224206248
- Organization name
- ATLAS HOME HEALTH CARE INC
- Incorporation date
- 2011-02-15
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2999 E DUBLIN GRANVILLE RD
- Address line 2
- STE 205
- City
- COLUMBUS
- State
- OH
- Zip code
- 432314030