- Enrollment id
- O20190620001515
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427533553
- Multiple npi flag
- N
- Ccn
- 369236
- Associate id
- 8224362561
- Organization name
- HOPE HOME HEALTH SERVICES, LLC
- Incorporation date
- 2018-08-31
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1495 MORSE RD
- Address line 2
- STE 201
- City
- COLUMBUS
- State
- OH
- Zip code
- 432296434