- Enrollment id
- O20250428002704
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437991486
- Multiple npi flag
- N
- Ccn
- 369422
- Associate id
- 9830629013
- Organization name
- ANTIMA HOME HEALTH CARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1425 EAST DUBLIN GRANVILLE ROAD
- Address line 2
- SUITE 112
- City
- COLUMBUS
- State
- OH
- Zip code
- 43229
- Practice location type
- HHA BRANCH