- Enrollment id
- O20240408000629
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265004634
- Multiple npi flag
- N
- Ccn
- 757760
- Associate id
- 3375981566
- Organization name
- PEOPLES CHOICE HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5301 LAUREL CANYON BLVD
- Address line 2
- STE 124
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916072769