- Enrollment id
- O20230203000056
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1073235834
- Multiple npi flag
- N
- Ccn
- 757857
- Associate id
- 5698147577
- Organization name
- UNITY HOME HEALTH
- Incorporation date
- 2022-08-31
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1314 W GLENOAKS BLVD
- Address line 2
- STE 206
- City
- GLENDALE
- State
- CA
- Zip code
- 912013262