- Enrollment id
- O20200128001274
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1083257935
- Multiple npi flag
- N
- Ccn
- 559545
- Associate id
- 8325474018
- Organization name
- BEST MATCH HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9003 RESEDA BLVD
- Address line 2
- STE 202B
- City
- NORTHRIDGE
- State
- CA
- Zip code
- 913243920