- Enrollment id
- O20030511000001
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1194762179
- Multiple npi flag
- N
- Ccn
- 057753
- Associate id
- 6002726767
- Organization name
- BETTER HEALTH HOME CARE
- Incorporation date
- 1984-04-17
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1535 W MERCED AVE
- Address line 2
- STE 204
- City
- WEST COVINA
- State
- CA
- Zip code
- 917903404