- Enrollment id
- O20051107000430
- Enrollment state
- KY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1942250592
- Multiple npi flag
- N
- Ccn
- 187306
- Associate id
- 1951329176
- Organization name
- COMPREHENSIVE HOME HEALTHCARE SERVICES, L.L.C.
- Doing business as name
- AMEDISYS HOME HEALTH CARE
- Incorporation date
- 1982-08-12
- Incorporation state
- KY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 123 N 19TH STREET
- Address line 2
- STE 5
- City
- MIDDLESBORO
- State
- KY
- Zip code
- 409652865