- Enrollment id
- O20230213000252
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1033881917
- Multiple npi flag
- N
- Ccn
- 757462
- Associate id
- 5597137968
- Organization name
- LA UNITED HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22048 SHERMAN WAY
- Address line 2
- STE 101
- City
- CANOGA PARK
- State
- CA
- Zip code
- 913033010