- Enrollment id
- O20051227000265
- Enrollment state
- MN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1275523953
- Multiple npi flag
- N
- Ccn
- 247001
- Associate id
- 3274555727
- Organization name
- HENNEPIN HOME HEALTH CARE, INC.
- Incorporation date
- 1993-10-01
- Incorporation state
- MN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8590 EDINBURGH CENTER DR
- City
- BROOKLYN PARK
- State
- MN
- Zip code
- 554433723