- Enrollment id
- O20230403000345
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1184203242
- Multiple npi flag
- N
- Ccn
- 757328
- Associate id
- 4284020181
- Organization name
- SANTE HOME HEALTH CARE INC
- Incorporation date
- 2021-03-15
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 225 E BROADWAY
- Address line 2
- STE 210B
- City
- GLENDALE
- State
- CA
- Zip code
- 912051008