- Enrollment id
- O20231206002083
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1083360317
- Multiple npi flag
- N
- Ccn
- 757863
- Associate id
- 1951750637
- Organization name
- EV HOME HEALTH CARE INC
- Incorporation date
- 2022-01-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12444 VICTORY BLVD
- Address line 2
- STE 411-O
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916063199
- Practice location type
- HHA BRANCH