- Enrollment id
- O20210304002757
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1053904953
- Multiple npi flag
- N
- Ccn
- 757227
- Associate id
- 9537575105
- Organization name
- CARE ON DEMAND HOME HEALTH
- Incorporation date
- 2021-01-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16250 VENTURA BLVD
- Address line 2
- STE 125
- City
- ENCINO
- State
- CA
- Zip code
- 914362262