- Enrollment id
- O20130604000142
- Enrollment state
- AZ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497003537
- Multiple npi flag
- N
- Ccn
- 037431
- Associate id
- 7113163064
- Organization name
- AVOCARE HOME HEALTH PLUS, INC
- Incorporation date
- 2012-05-29
- Incorporation state
- AZ
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1840 E UNIVERSITY DR
- Address line 2
- STE 2B
- City
- MESA
- State
- AZ
- Zip code
- 85203
- Practice location type
- HHA BRANCH