- Enrollment id
- O20080709000274
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1336317197
- Multiple npi flag
- N
- Ccn
- 148060
- Associate id
- 5890867725
- Organization name
- NEW HAVEN HOME HEALTH CARE, INC
- Incorporation date
- 2006-10-27
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10700 W HIGGINS RD
- Address line 2
- STE 350
- City
- ROSEMONT
- State
- IL
- Zip code
- 600183723