- Enrollment id
- O20050801000431
- Enrollment state
- AR
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972641660
- Multiple npi flag
- N
- Ccn
- 047135
- Associate id
- 7315975398
- Organization name
- HOME HEALTH PROFESSIONALS INC
- Doing business as name
- HOME HEALTH PROFESSIONALS & HOSPICE
- Incorporation date
- 2005-05-23
- Incorporation state
- AR
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2919 E MATTHEWS AVE
- Address line 2
- STE C
- City
- JONESBORO
- State
- AR
- Zip code
- 724014482