- Enrollment id
- O20120822000309
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619240827
- Multiple npi flag
- N
- Ccn
- 369015
- Associate id
- 6002063369
- Organization name
- DISCOVERY HOME HEALTHCARE LLC
- Incorporation date
- 2012-02-17
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3314 MORSE ROAD
- Address line 2
- SUITE 209
- City
- COLUMBUS
- State
- OH
- Zip code
- 432316100