- Enrollment id
- O20220415001216
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1528728417
- Multiple npi flag
- N
- Ccn
- 148394
- Associate id
- 9931595105
- Organization name
- HEALER OF HOPE HOME HEALTH CARE, INC
- Incorporation date
- 2020-09-29
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1701 E WOODFIELD RD
- Address line 2
- STE 225
- City
- SCHAUMBURG
- State
- IL
- Zip code
- 601735191