- Enrollment id
- O20231206002562
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1508642653
- Multiple npi flag
- N
- Ccn
- 369386
- Associate id
- 7517312549
- Organization name
- AHC HOME HEALTH OF CINCINNATI LLC
- Incorporation date
- 2023-04-11
- Incorporation state
- UT
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1400 MALLARD COVE DRIVE
- Address line 2
- STE. 0038
- City
- SHARONVILLE
- State
- OH
- Zip code
- 452463941