- Enrollment id
- O20181016003821
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1205378999
- Multiple npi flag
- N
- Ccn
- 559042
- Associate id
- 3779835939
- Organization name
- GMH HOME HEALTH INC
- Incorporation date
- 2016-09-29
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8001 LAUREL CANYON BLVD
- Address line 2
- STE 206
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916051463
- Practice location type
- HHA BRANCH