- Enrollment id
- O20090331000541
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1598732075
- Multiple npi flag
- N
- Ccn
- 147150
- Associate id
- 7113084450
- Organization name
- EHS HOME HEALTH CARE SERVICE INC
- Doing business as name
- ADVOCATE HOME HEALTH SERVICES
- Incorporation date
- 1997-03-30
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2311 W 22ND ST
- Address line 2
- STE 300
- City
- OAK BROOK
- State
- IL
- Zip code
- 605234103