- Enrollment id
- O20130329000027
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1932444361
- Multiple npi flag
- N
- Ccn
- 369101
- Associate id
- 7214172998
- Organization name
- NORTH CARE HEALTH SERVICES LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6422 E MAIN ST
- Address line 2
- STE 201
- City
- REYNOLDSBURG
- State
- OH
- Zip code
- 430682348