- Enrollment id
- O20201224000007
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1063010817
- Multiple npi flag
- N
- Ccn
- 757073
- Associate id
- 3577975135
- Organization name
- EUPHORIC HOME HEALTH
- Incorporation date
- 2020-10-05
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4119 W BURBANK BLVD
- Address line 2
- STE 118
- City
- BURBANK
- State
- CA
- Zip code
- 915052122