- Enrollment id
- O20080128000204
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1639195332
- Multiple npi flag
- N
- Ccn
- 367778
- Associate id
- 9537241740
- Organization name
- ALTERNATE SOLUTIONS HOMECARE OF DAYTON, LLC
- Doing business as name
- KETTERING HOMECARE
- Incorporation date
- 2000-12-26
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1050 FORRER BLVD
- Address line 2
- STE 100
- City
- KETTERING
- State
- OH
- Zip code
- 454201472