- Enrollment id
- O20221107000034
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033798921
- Multiple npi flag
- N
- Ccn
- 757301
- Associate id
- 3577930445
- Organization name
- SWIFT HOME HEALTH INC
- Incorporation date
- 2021-01-21
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7120 HAYVENHURST AVE
- Address line 2
- STE 214
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063813