- Enrollment id
- O20191204000326
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1861052615
- Multiple npi flag
- N
- Ccn
- 369399
- Associate id
- 9133552243
- Organization name
- NAMSARA HOMEHEALTH SERVICES LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2242 S HAMILTON RD
- Address line 2
- STE 100
- City
- COLUMBUS
- State
- OH
- Zip code
- 432324300