- Enrollment id
- O20240325002438
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1275215790
- Multiple npi flag
- N
- Ccn
- 757891
- Associate id
- 7416394572
- Organization name
- UNCONDITIONAL LOVE HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15130 VENTURA BLVD
- Address line 2
- STE 329
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914033379
- Practice location type
- HHA BRANCH