- Enrollment id
- O20050507000083
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1841389236
- Multiple npi flag
- N
- Ccn
- 147847
- Associate id
- 8820038961
- Organization name
- DIRECT HOME HEALTHCARE, INC.
- Incorporation date
- 2004-06-14
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2250 E DEVON AVE
- Address line 2
- STE 341
- City
- DES PLAINES
- State
- IL
- Zip code
- 600184509