- Enrollment id
- O20140103001115
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1053741017
- Multiple npi flag
- N
- Ccn
- 053124
- Associate id
- 4284862889
- Organization name
- OPTIMAL HEALTH CARE INC
- Doing business as name
- ARCHER HEALTH, INC.
- Incorporation date
- 2013-08-29
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22151 VENTURA BLVD
- Address line 2
- STE 207
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913641665
- Practice location type
- HHA BRANCH