- Enrollment id
- O20170926004068
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1225560188
- Multiple npi flag
- N
- Ccn
- 757169
- Associate id
- 1153695390
- Organization name
- BE HEALTHY HOME HEALTH INC.
- Incorporation date
- 2015-11-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10117 SEPULVEDA BLVD
- Address line 2
- SUITE 205A
- City
- MISSION HILLS
- State
- CA
- Zip code
- 913452878
- Practice location type
- HHA BRANCH