- Enrollment id
- O20200421000989
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1063864544
- Multiple npi flag
- N
- Ccn
- 559302
- Associate id
- 0446530513
- Organization name
- EMILYS HOME HEALTH CARE INC
- Incorporation date
- 2016-04-07
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16661 VENTURA BLVD
- Address line 2
- STE 400G
- City
- ENCINO
- State
- CA
- Zip code
- 914361914
- Practice location type
- HHA BRANCH