- Enrollment id
- O20160406001628
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417328642
- Multiple npi flag
- Y
- Ccn
- 369160
- Associate id
- 4880992957
- Organization name
- ABSOLUTE LOVE HOMEHEALTH CARE LLC
- Doing business as name
- ABSOLUTE LOVE HOMEHEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2700 E DUBLIN GRANVILLE RD
- Address line 2
- STE 424
- City
- COLUMBUS
- State
- OH
- Zip code
- 432314056