- Enrollment id
- O20191003003140
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215413414
- Multiple npi flag
- N
- Ccn
- 559196
- Associate id
- 8123359262
- Organization name
- BLESSED HOME HEALTH CARE INC
- Incorporation date
- 2016-03-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4900 CALIFORNIA AVE
- Address line 2
- STE 305A
- City
- BAKERSFIELD
- State
- CA
- Zip code
- 933097045