- Enrollment id
- O20210324000266
- Enrollment state
- NC
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1730785205
- Multiple npi flag
- N
- Ccn
- 347071
- Associate id
- 4082043138
- Organization name
- ADORATION HOME HEALTH CARE VIRGINIA, LLC
- Doing business as name
- ADORATION HOME HEALTH
- Incorporation date
- 2018-07-31
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 112 CHARTER ST
- Address line 2
- STE C
- City
- ALBEMARLE
- State
- NC
- Zip code
- 280018690