- Enrollment id
- O20101014000270
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1720399447
- Multiple npi flag
- N
- Ccn
- 148273
- Associate id
- 7911199559
- Organization name
- UCHANGE INC.
- Doing business as name
- UCHANGE HOME HEALTH AGENCY INC
- Incorporation date
- 2009-04-06
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1406 PARK AVE
- City
- CHICAGO HEIGHTS
- State
- IL
- Zip code
- 604113529