- Enrollment id
- O20231129000616
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265135297
- Multiple npi flag
- N
- Ccn
- 758092
- Associate id
- 6406219872
- Organization name
- BAYAZET HOME HEALTH, INC.
- Incorporation date
- 2023-02-15
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7590 N GLENOAKS BLVD
- Address line 2
- STE 23
- City
- BURBANK
- State
- CA
- Zip code
- 915041003