- Enrollment id
- O20190104002460
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1124473715
- Multiple npi flag
- N
- Ccn
- 559012
- Associate id
- 4486990868
- Organization name
- HELPING HANDS HOME HEALTH CARE, LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1241 S GLENDALE AVE
- Address line 2
- STE 205B
- City
- GLENDALE
- State
- CA
- Zip code
- 912053385