- Enrollment id
- O20200709003784
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1841767050
- Multiple npi flag
- N
- Ccn
- 369283
- Associate id
- 6002239944
- Organization name
- ALPHA HEALTHCARE SERVICES LLC
- Incorporation date
- 2018-10-23
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2244 S HAMILTON RD
- Address line 2
- STE 200
- City
- COLUMBUS
- State
- OH
- Zip code
- 432324390