- Enrollment id
- O20040924001014
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1073630596
- Multiple npi flag
- N
- Ccn
- 557735
- Associate id
- 4880663012
- Organization name
- ADEPT HOME HEALTH SERVICES INC
- Doing business as name
- ADEPT HOME HEALTH CARE
- Incorporation date
- 2004-07-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 818 N MOUNTAIN AVE
- Address line 2
- STE 120
- City
- UPLAND
- State
- CA
- Zip code
- 917864164