- Enrollment id
- O20190927003144
- Enrollment state
- AL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1629539077
- Multiple npi flag
- N
- Ccn
- 017009
- Associate id
- 5496085714
- Organization name
- EH HEALTH HOME HEALTH OF BIRMINGHAM, LLC
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1 CHASE CORPORATE DR
- Address line 2
- STE 210A
- City
- HOOVER
- State
- AL
- Zip code
- 352441000
- Practice location type
- HHA BRANCH