- Enrollment id
- O20250124002019
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1245927953
- Multiple npi flag
- N
- Ccn
- 758167
- Associate id
- 8729517412
- Organization name
- INM HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1545 N VERDUGO RD
- Address line 2
- STE 214
- City
- GLENDALE
- State
- CA
- Zip code
- 912082881
- Practice location type
- HHA BRANCH