- Enrollment id
- O20130911000530
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033460795
- Multiple npi flag
- N
- Ccn
- 059594
- Associate id
- 8123262243
- Organization name
- AMERICARE HOME HEALTH INC
- Incorporation date
- 2012-03-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16501 SHERMAN WAY
- Address line 2
- STE 225
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063787
- Practice location type
- HHA BRANCH