- Enrollment id
- O20190607000444
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1801373881
- Multiple npi flag
- N
- Ccn
- 369234
- Associate id
- 5799018651
- Organization name
- CAREMEHOME LLC
- Incorporation date
- 2018-07-03
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1415 E DUBLIN GRANVILLE RD
- Address line 2
- STE 201
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293311
- Practice location type
- HHA BRANCH