- Enrollment id
- O20210421001858
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1265922058
- Multiple npi flag
- N
- Ccn
- 757249
- Associate id
- 1254749708
- Organization name
- BEST LIFE HOME HEALTH CARE , INC.
- Incorporation date
- 2018-03-20
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17915 VENTURA BLVD
- Address line 2
- STE 212
- City
- ENCINO
- State
- CA
- Zip code
- 913164806