- Enrollment id
- O20201114000038
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1063053635
- Multiple npi flag
- N
- Ccn
- 559533
- Associate id
- 2163832551
- Organization name
- CONFIDENT HOME HEALTH CARE INC
- Incorporation date
- 2017-05-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10545 BURBANK BLVD
- Address line 2
- STE 136
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916012249