- Enrollment id
- O20230612001084
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1023769221
- Multiple npi flag
- N
- Ccn
- 757744
- Associate id
- 3678947199
- Organization name
- CUPID HOME HEALTH, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 202A
- City
- ENCINO
- State
- CA
- Zip code
- 914362215