- Enrollment id
- O20070828000056
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992858849
- Multiple npi flag
- N
- Ccn
- 109480
- Associate id
- 7517059173
- Organization name
- ON SITE HOME HEALTH CARE CORP
- Incorporation date
- 2006-04-27
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10516 W FLAGLER ST
- City
- MIAMI
- State
- FL
- Zip code
- 331741631
- Practice location type
- HHA BRANCH