- Enrollment id
- O20201104001323
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1174137491
- Multiple npi flag
- N
- Ccn
- 757155
- Associate id
- 1254741143
- Organization name
- NEW HORIZON HOME HEALTH SERVICES
- Incorporation date
- 2020-08-31
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8949 RESEDA BLVD
- Address line 2
- STE 208
- City
- NORTHRIDGE
- State
- CA
- Zip code
- 913245820