- Enrollment id
- O20240822003241
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265151260
- Multiple npi flag
- N
- Ccn
- 757818
- Associate id
- 0749628659
- Organization name
- RTH MEDCARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3171 LOS FELIZ BLVD
- Address line 2
- STE 216
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391536