- Enrollment id
- O20200512000661
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1285191213
- Multiple npi flag
- N
- Ccn
- 559300
- Associate id
- 5395176101
- Organization name
- H & M HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 232 N LAKE AVE
- Address line 2
- STE 209
- City
- PASADENA
- State
- CA
- Zip code
- 911011862