- Enrollment id
- O20170419002702
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467815712
- Multiple npi flag
- N
- Ccn
- 369219
- Associate id
- 9335425719
- Organization name
- FAMILY FIRST HOME HEALTH CARE LLC
- Incorporation date
- 2016-03-28
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1395 E DUBLIN GRANVILLE RD
- Address line 2
- STE 405
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293314