- Enrollment id
- O20231212002188
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1013585967
- Multiple npi flag
- N
- Ccn
- 757728
- Associate id
- 5890144174
- Organization name
- AZUR HOME HEALTH CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 150 E OLIVE AVE
- Address line 2
- STE 105
- City
- BURBANK
- State
- CA
- Zip code
- 915021849