- Enrollment id
- O20171102003304
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1285159483
- Multiple npi flag
- N
- Ccn
- 559153
- Associate id
- 6103182480
- Organization name
- INFINITE CARE HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5301 LAUREL CANYON BLVD
- Address line 2
- STE 112
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916072772