- Enrollment id
- O20210721000043
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033795968
- Multiple npi flag
- N
- Ccn
- 758148
- Associate id
- 3779986336
- Organization name
- PROPER CARE HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15720 VENTURA BLVD
- Address line 2
- STE 404
- City
- ENCINO
- State
- CA
- Zip code
- 914362998