- Enrollment id
- O20160726001952
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1194180711
- Multiple npi flag
- N
- Ccn
- 053197
- Associate id
- 6103119318
- Organization name
- DELIGHT HOME HEALTH CARE
- Incorporation date
- 2015-10-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14435 HAMLIN ST
- Address line 2
- STE 203
- City
- VAN NUYS
- State
- CA
- Zip code
- 914016205
- Practice location type
- HHA BRANCH