- Enrollment id
- O20170815002351
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215470042
- Multiple npi flag
- N
- Ccn
- 559206
- Associate id
- 5092087874
- Organization name
- ACCELERATED HEALTH HOME CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6350 LAUREL CANYON BLVD
- Address line 2
- STE 208
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916063200