- Enrollment id
- O20050623000049
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992711311
- Multiple npi flag
- N
- Ccn
- 147831
- Associate id
- 1254376957
- Organization name
- ASSOCIATES HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2250 E DEVON AVE
- Address line 2
- STE 336
- City
- DES PLAINES
- State
- IL
- Zip code
- 600184511