- Enrollment id
- O20240718003596
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1659083541
- Multiple npi flag
- N
- Ccn
- 369425
- Associate id
- 4082150768
- Organization name
- ACCESS HOME HEALTH SERVICES
- Incorporation date
- 2022-07-28
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1425 E DUBLIN GRANVILLE RD
- Address line 2
- STE 213
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293312
- Practice location type
- HHA BRANCH