- Enrollment id
- O20250722002971
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1184377061
- Multiple npi flag
- N
- Ccn
- 758236
- Associate id
- 2062945074
- Organization name
- GNHC
- Doing business as name
- GREAT NURSES HOME CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 348 E OLIVE AVE
- Address line 2
- STE E2
- City
- BURBANK
- State
- CA
- Zip code
- 915021235
- Practice location type
- HHA BRANCH