- Enrollment id
- O20080227000233
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265619761
- Multiple npi flag
- N
- Ccn
- 368233
- Associate id
- 3173607389
- Organization name
- HEARTSPRING HOME HEALTH CARE LLC
- Incorporation date
- 2007-11-09
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4700 DUKE DR
- Address line 2
- STE 135H
- City
- MASON
- State
- OH
- Zip code
- 450409507