- Enrollment id
- O20221007000344
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1144990102
- Multiple npi flag
- N
- Ccn
- 757324
- Associate id
- 0143606558
- Organization name
- AMBITIONS HOME HEALTH INC
- Incorporation date
- 2021-08-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5311 TOPANGA CANYON BLVD
- Address line 2
- STE 216
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913641742