- Enrollment id
- O20080819000881
- Enrollment state
- CT
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1801059134
- Multiple npi flag
- N
- Ccn
- 077250
- Associate id
- 7113092594
- Organization name
- AMERICAN HOME HEALTH, INC
- Incorporation date
- 2007-02-21
- Incorporation state
- CT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 567 NEW PARK AVE
- City
- WEST HARTFORD
- State
- CT
- Zip code
- 061101348
- Practice location type
- HHA BRANCH