- Enrollment id
- O20240213001838
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043910037
- Multiple npi flag
- N
- Ccn
- 757933
- Associate id
- 6204294457
- Organization name
- A1 PRO HOME HEALTH INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 24301 SOUTHLAND DR
- Address line 2
- STE 404
- City
- HAYWARD
- State
- CA
- Zip code
- 945451550