- Enrollment id
- O20031008000009
- Enrollment state
- NY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821184839
- Multiple npi flag
- N
- Ccn
- 337140
- Associate id
- 3072424027
- Organization name
- THE DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC.
- Doing business as name
- ARCHCARE AT HOME
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 115 E STEVENS AVE
- Address line 2
- STE 104/105
- City
- VALHALLA
- State
- NY
- Zip code
- 105951271
- Practice location type
- HHA BRANCH