- Enrollment id
- O20210909002763
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033723952
- Multiple npi flag
- N
- Ccn
- 559760
- Associate id
- 5991101354
- Organization name
- BELMONT HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16661 VENTURA BLVD
- Address line 2
- STE 506
- City
- ENCINO
- State
- CA
- Zip code
- 914361935