- Enrollment id
- O20061102000620
- Enrollment state
- MA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649351354
- Multiple npi flag
- N
- Ccn
- 227500
- Associate id
- 8325045438
- Organization name
- EXCELLA HOMECARE INC
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 35 NEW ENGLAND BUSINESS CENTER DR
- Address line 2
- STE 207
- City
- ANDOVER
- State
- MA
- Zip code
- 018101071