- Enrollment id
- O20151030000519
- Enrollment state
- TN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1790161321
- Multiple npi flag
- N
- Ccn
- 447581
- Associate id
- 9931419165
- Organization name
- ADORATION HOME HEALTH LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1210 BRIARVILLE ROAD
- Address line 2
- BUILDING D, SUITE B
- City
- MADISON
- State
- TN
- Zip code
- 371155136
- Practice location type
- HHA BRANCH