- Enrollment id
- O20230113001852
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1588376198
- Multiple npi flag
- N
- Ccn
- 369370
- Associate id
- 2567833304
- Organization name
- SMART CARE HOME HEALTH SERVICES LLC
- Incorporation date
- 2022-06-11
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2021 E DUBLIN GRANVILLE RD
- Address line 2
- STE 212
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293549
- Practice location type
- HHA BRANCH