- Enrollment id
- O20241226002089
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1043981939
- Multiple npi flag
- N
- Ccn
- 758124
- Associate id
- 7012456833
- Organization name
- ONCALL HOME HEALTHCARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11755 VICTORY BLVD
- Address line 2
- STE 180
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916063468
- Practice location type
- HHA BRANCH