- Enrollment id
- O20070627000732
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1053522664
- Multiple npi flag
- N
- Ccn
- 059086
- Associate id
- 3577662881
- Organization name
- PRIVILEGE HOME HEALTH CARE, INC.
- Incorporation date
- 2007-03-07
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 500 E OLIVE AVE
- Address line 2
- STE 850
- City
- BURBANK
- State
- CA
- Zip code
- 915012132
- Practice location type
- HHA BRANCH