- Enrollment id
- O20230217000142
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1245901107
- Multiple npi flag
- N
- Ccn
- 757410
- Associate id
- 8921470139
- Organization name
- MAJOR CARE HOME HEALTH, INC.
- Incorporation date
- 2021-09-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17915 VENTURA BLVD
- Address line 2
- STE 226
- City
- ENCINO
- State
- CA
- Zip code
- 913164813