- Enrollment id
- O20231011003447
- Enrollment state
- OH
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1508642653
- Multiple npi flag
- N
- Ccn
- 361742
- Associate id
- 7517312549
- Organization name
- AHC HOME HEALTH OF CINCINNATI LLC
- Incorporation date
- 2023-04-11
- Incorporation state
- UT
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1400 MALLARD COVE DR
- Address line 2
- STE 38
- City
- SHARONVILLE
- State
- OH
- Zip code
- 452463941