- Enrollment id
- O20050324001191
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1528094109
- Multiple npi flag
- N
- Ccn
- 147811
- Associate id
- 2860448529
- Organization name
- HEALTH RESOURCES SOLUTIONS INC
- Doing business as name
- ACCENTCARE HOME HEALTH OF ILLINOIS
- Incorporation date
- 2003-07-01
- Incorporation state
- NJ
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1806 S HIGHLAND AVE
- Address line 2
- STE 225
- City
- LOMBARD
- State
- IL
- Zip code
- 601484938