- Enrollment id
- O20241105003404
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1114670973
- Multiple npi flag
- N
- Ccn
- 757951
- Associate id
- 6406380054
- Organization name
- NOHO BEST HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4605 LANKERSHIM BLVD
- Address line 2
- STE 617
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916021856