- Enrollment id
- O20241016002577
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1083324156
- Multiple npi flag
- N
- Ccn
- 758019
- Associate id
- 7618409574
- Organization name
- FUTURE HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14547 TITUS ST
- Address line 2
- STE 101
- City
- PANORAMA CITY
- State
- CA
- Zip code
- 914024912