- Enrollment id
- O20240116001532
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1770261539
- Multiple npi flag
- N
- Ccn
- 369385
- Associate id
- 3678925617
- Organization name
- SEWA HOME HEALTH CARE, LLC
- Incorporation date
- 2023-07-05
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5979 EAST LIVINGSTON AVENUE
- Address line 2
- SUITE # 101
- City
- COLUMBUS
- State
- OH
- Zip code
- 432322008