- Enrollment id
- O20240624000326
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215682083
- Multiple npi flag
- N
- Ccn
- 757774
- Associate id
- 8224571930
- Organization name
- MVE HOME HEALTH CARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1901 E LAMBERT RD
- Address line 2
- STE 202
- City
- LA HABRA
- State
- CA
- Zip code
- 906315757