- Enrollment id
- O20220311000229
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1225797723
- Multiple npi flag
- N
- Ccn
- 757384
- Associate id
- 2860887775
- Organization name
- BELLA HOME HEALTH
- Incorporation date
- 2021-10-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14621 TITUS ST
- Address line 2
- STE 218
- City
- PANORAMA CITY
- State
- CA
- Zip code
- 914024906