- Enrollment id
- O20210310000264
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1134731557
- Multiple npi flag
- N
- Ccn
- 559514
- Associate id
- 2062828452
- Organization name
- CARING ONE HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 19634 VENTURA BLVD
- Address line 2
- STE 201
- City
- TARZANA
- State
- CA
- Zip code
- 913567106