- Enrollment id
- O20111216000730
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1396038535
- Multiple npi flag
- N
- Ccn
- 369042
- Associate id
- 5597930792
- Organization name
- ADVANTAGE HOME HEALTH CARE OF COLUMBUS, LLC.
- Doing business as name
- ADVANTAGE HOME HEALTH CARE LLC
- Incorporation date
- 2011-03-03
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1150 MORSE RD
- Address line 2
- STE 331
- City
- COLUMBUS
- State
- OH
- Zip code
- 432296327