- Enrollment id
- O20040720000034
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1932162096
- Multiple npi flag
- N
- Ccn
- 237087
- Associate id
- 0547178311
- Organization name
- HENRY FORD HEALTH SYSTEM
- Doing business as name
- HENRY FORD HOME HEALTH CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1 FORD PLACE
- Address line 2
- SUITE 4C
- City
- DETROIT
- State
- MI
- Zip code
- 482023450