- Enrollment id
- O20160906001843
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1013378710
- Multiple npi flag
- N
- Ccn
- 559001
- Associate id
- 2668768334
- Organization name
- CALIFORNIA NURSING & HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1100 E BROADWAY
- Address line 2
- STE 306
- City
- GLENDALE
- State
- CA
- Zip code
- 912054642