- Enrollment id
- O20091007000047
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871722355
- Multiple npi flag
- N
- Ccn
- 368333
- Associate id
- 5597801472
- Organization name
- ASH BROTHERS HOME HEALTH CARE
- Incorporation date
- 2009-05-22
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 635 PARK MEADOW RD
- Address line 2
- STE 115
- City
- WESTERVILLE
- State
- OH
- Zip code
- 430812877