- Enrollment id
- O20180801002685
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1255797791
- Multiple npi flag
- N
- Ccn
- 553108
- Associate id
- 7214232594
- Organization name
- CARE 1ST HEALTH SERVICES, INC.
- Incorporation date
- 2015-12-29
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14542 VENTURA BLVD
- Address line 2
- STE 203
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914035515