- Enrollment id
- O20210827000804
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1508530619
- Multiple npi flag
- N
- Ccn
- 369305
- Associate id
- 5799188546
- Organization name
- CARE ONE HOME HEALTH CARE SERVICES
- Incorporation date
- 2020-10-26
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 733 E DUBLIN GRANVILLE RD
- Address line 2
- STE 205
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293200