- Enrollment id
- O20240513003542
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265111314
- Multiple npi flag
- N
- Ccn
- 369433
- Associate id
- 4688015324
- Organization name
- ELITE HOME COMFORT CARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2021 E DUBLIN GRANVILLE RD
- Address line 2
- STE 132
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293568
- Practice location type
- HHA BRANCH