- Enrollment id
- O20130412000105
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518206937
- Multiple npi flag
- N
- Ccn
- 369067
- Associate id
- 9537305800
- Organization name
- ALFA HOME HEALTHCARE, LLC
- Incorporation date
- 2012-06-27
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2586 TILLER LANE
- Address line 2
- SUITE 2F
- City
- COLUMBUS
- State
- OH
- Zip code
- 432312265