- Enrollment id
- O20170131002765
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1114372802
- Multiple npi flag
- N
- Ccn
- 559014
- Associate id
- 7517249394
- Organization name
- SIERRA HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4444 W RIVERSIDE DR
- Address line 2
- STE 207
- City
- BURBANK
- State
- CA
- Zip code
- 915054048