- Enrollment id
- O20090213000094
- Enrollment state
- IN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1447416953
- Multiple npi flag
- N
- Ccn
- 157612
- Associate id
- 1153486808
- Organization name
- AMERICAN CHOICE HOME HEALTH CARE, LLC
- Incorporation date
- 2008-02-12
- Incorporation state
- IN
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 131 RIDGE RD
- Address line 2
- STE 1S
- City
- MUNSTER
- State
- IN
- Zip code
- 463211567