- Enrollment id
- O20070308000185
- Enrollment state
- NE
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467582148
- Multiple npi flag
- N
- Ccn
- 287132
- Associate id
- 5991808180
- Organization name
- MIDWEST HOME HEALTH INC
- Doing business as name
- ANGELS CARE HOME HEALTH
- Incorporation date
- 2007-02-21
- Incorporation state
- NE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10832 OLD MILL RD
- Address line 2
- STE 3
- City
- OMAHA
- State
- NE
- Zip code
- 681542672