- Enrollment id
- O20140701001979
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1699195206
- Multiple npi flag
- N
- Ccn
- 369141
- Associate id
- 5597980771
- Organization name
- SCIOTO HOME HEALTHCARE LLC
- Incorporation date
- 2014-04-16
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2700 E DUBLIN GRANVILLE RD
- Address line 2
- SUITE 240
- City
- COLUMBUS
- State
- OH
- Zip code
- 43231