- Enrollment id
- O20090113000259
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1881846392
- Multiple npi flag
- N
- Ccn
- 148087
- Associate id
- 6204999568
- Organization name
- MEDCORE HOME HEALTH CARE, INC
- Incorporation date
- 2007-09-27
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1701 E WOODFIELD RD
- Address line 2
- STE 205
- City
- SCHAUMBURG
- State
- IL
- Zip code
- 601734734