- Enrollment id
- O20250313002511
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821103227
- Multiple npi flag
- N
- Ccn
- 367615
- Associate id
- 4688196108
- Organization name
- COMPASSUS OHIOHEALTH COLUMBUS HHA LLC
- Doing business as name
- OHIOHEALTH HOME HEALTH WITH COMPASSUS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6805 PERIMETER DR
- Address line 2
- FL 1 STE B
- City
- DUBLIN
- State
- OH
- Zip code
- 430168690