- Enrollment id
- O20080326000250
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1164590246
- Multiple npi flag
- N
- Ccn
- 058034
- Associate id
- 0840376240
- Organization name
- NEVADA GEM HOME HEALTH
- Doing business as name
- CALIFORNIA NURSES HOME HEALTH SERVICES
- Incorporation date
- 1996-06-07
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17418 CHATSWORTH ST 200
- City
- GRANADA HILLS
- State
- CA
- Zip code
- 913447626