- Enrollment id
- O20051012000972
- Enrollment state
- IN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1902920259
- Multiple npi flag
- N
- Ccn
- 157573
- Associate id
- 4981629565
- Organization name
- AMERICAN HOME HEALTH SERVICES, INC.
- Incorporation date
- 2005-02-10
- Incorporation state
- IN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7895 BROADWAY
- Address line 2
- STE G-A
- City
- MERRILLVILLE
- State
- IN
- Zip code
- 464105529