- Enrollment id
- O20200406001826
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1285291658
- Multiple npi flag
- N
- Ccn
- 559480
- Associate id
- 7810326279
- Organization name
- HEALTH PATH HOME CARE INC
- Incorporation date
- 2019-04-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9003 RESEDA BLVD
- Address line 2
- STE 210
- City
- NORTHRIDGE
- State
- CA
- Zip code
- 913243937