- Enrollment id
- O20180126001918
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1447763776
- Multiple npi flag
- N
- Ccn
- 369034
- Associate id
- 1850651555
- Organization name
- COMPREHENSIVE HEALTH CARE SOLUTIONS INC
- Incorporation date
- 2017-11-07
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5979 E LIVINGSTON AVE
- Address line 2
- STE 210
- City
- COLUMBUS
- State
- OH
- Zip code
- 432322908