- Enrollment id
- O20240404002036
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1174276539
- Multiple npi flag
- N
- Ccn
- 758217
- Associate id
- 7719325133
- Organization name
- RIGHT STEP HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14531 HAMLIN ST
- Address line 2
- STE 100
- City
- VAN NUYS
- State
- CA
- Zip code
- 914114123