- Enrollment id
- O20130710000875
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1407058381
- Multiple npi flag
- N
- Ccn
- 369049
- Associate id
- 8325119688
- Organization name
- GENERATION HOME HEALTH LLC
- Incorporation date
- 2007-04-12
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 43 E COLLEGE AVE
- City
- WESTERVILLE
- State
- OH
- Zip code
- 430812101
- Practice location type
- HHA BRANCH