- Enrollment id
- O20070511000228
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255458170
- Multiple npi flag
- N
- Ccn
- 059049
- Associate id
- 3375649155
- Organization name
- VALLEY HOME HEALTH CARE AGENCY, INC.
- Incorporation date
- 2007-02-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5530 CORBIN AVE
- Address line 2
- STE 112
- City
- TARZANA
- State
- CA
- Zip code
- 913566048
- Practice location type
- HHA BRANCH