- Enrollment id
- O20160629000106
- Enrollment state
- NJ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1710340575
- Multiple npi flag
- Y
- Ccn
- 317089
- Associate id
- 3870884406
- Organization name
- TRI-COUNTY HOME AND HOSPICE CARE,LLC
- Doing business as name
- BAYADA AT INSPIRA, HOME HEALTH AND HOSPICE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 600 G ST
- Address line 2
- STE 170
- City
- MILLVILLE
- State
- NJ
- Zip code
- 083322111