- Enrollment id
- O20221101000782
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033862560
- Multiple npi flag
- N
- Ccn
- 757995
- Associate id
- 9931576147
- Organization name
- RAYS OF HOPE HOME HEALTH SERVICES INC
- Incorporation date
- 2022-01-20
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14545 FRIAR ST
- Address line 2
- STE 223
- City
- VAN NUYS
- State
- CA
- Zip code
- 914114719