- Enrollment id
- O20240828000301
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851086201
- Multiple npi flag
- N
- Ccn
- 148419
- Associate id
- 4183163710
- Organization name
- ACUITY HOME HEALTH
- Incorporation date
- 2023-02-24
- Incorporation state
- IL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2200 S MAIN ST
- Address line 2
- STE 208
- City
- LOMBARD
- State
- IL
- Zip code
- 601485365