- Enrollment id
- O20240510002534
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1235886417
- Multiple npi flag
- N
- Ccn
- 757826
- Associate id
- 8325489149
- Organization name
- CAREUP HOME HEALTH INC
- Incorporation date
- 2022-02-07
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 20945 DEVONSHIRE ST
- Address line 2
- STE 101B-1
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913112394