- Enrollment id
- O20240116000361
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1063011344
- Multiple npi flag
- N
- Ccn
- 757767
- Associate id
- 0345692349
- Organization name
- AMHH HEALTH SERVICES, INC.
- Incorporation date
- 2020-08-20
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14542 VENTURA BLVD
- Address line 2
- STE 206A
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914035512