- Enrollment id
- O20201103000274
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1184147159
- Multiple npi flag
- N
- Ccn
- 559550
- Associate id
- 2961832696
- Organization name
- RELIABLE HOME HEALTH CARE INC
- Incorporation date
- 2016-12-22
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 13701 RIVERSIDE DR
- Address line 2
- STE 610
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914232449