- Enrollment id
- O20200713000151
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093351777
- Multiple npi flag
- N
- Ccn
- 559637
- Associate id
- 0042633877
- Organization name
- CHERUB HOME HEALTH INC
- Incorporation date
- 2019-10-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 424
- City
- ENCINO
- State
- CA
- Zip code
- 914364921