- Enrollment id
- O20170428001031
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871529347
- Multiple npi flag
- N
- Ccn
- 107689
- Associate id
- 9739173444
- Organization name
- ALTERCARE LLC
- Doing business as name
- TRILOGY HOME HEALTHCARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 12740 GRAN BAY PKWY W
- Address line 2
- STE 2400
- City
- JACKSONVILLE
- State
- FL
- Zip code
- 322585495