- Enrollment id
- O20241021002412
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1245901826
- Multiple npi flag
- N
- Ccn
- 758168
- Associate id
- 8820533862
- Organization name
- EG HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7590 N GLENOAKS BLVD
- Address line 2
- STE 16
- City
- BURBANK
- State
- CA
- Zip code
- 915041003
- Practice location type
- HHA BRANCH