- Enrollment id
- O20120109000128
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1659675106
- Multiple npi flag
- N
- Ccn
- 109786
- Associate id
- 6507032844
- Organization name
- KB HEALTH SOLUTIONS, LLC
- Doing business as name
- EMPATH HOME HEALTH
- Incorporation date
- 2011-03-08
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- N
- Address line 1
- 6811 PALISADES PARK CT
- Address line 2
- STE 2
- City
- FORT MYERS
- State
- FL
- Zip code
- 339127130
- Practice location type
- HHA BRANCH