- Enrollment id
- O20180112001389
- Enrollment state
- AL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1689191405
- Multiple npi flag
- N
- Ccn
- 017092
- Associate id
- 0547363061
- Organization name
- CARESOUTH HHA HOLDINGS OF VALLEY, LLC
- Doing business as name
- ENHABIT HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 289 WILLIAM E HILL DR
- Address line 2
- STE B
- City
- CARROLLTON
- State
- AL
- Zip code
- 354473247