- Enrollment id
- O20200317001698
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1245793116
- Multiple npi flag
- N
- Ccn
- 559256
- Associate id
- 6002244548
- Organization name
- NURSES HHA CO INC
- Incorporation date
- 2019-01-30
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5121 VAN NUYS BLVD
- Address line 2
- STE 206
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914036127
- Practice location type
- HHA BRANCH