- Enrollment id
- O20210119002603
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1013522085
- Multiple npi flag
- N
- Ccn
- 757017
- Associate id
- 9830502590
- Organization name
- SUNNY DAYS HOME CARE INC
- Doing business as name
- ALL CITIZENS HOME HEALTH
- Incorporation date
- 2020-09-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 315 ARDEN AVE
- Address line 2
- STE 24
- City
- GLENDALE
- State
- CA
- Zip code
- 912031148