- Enrollment id
- O20080322000006
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1285637603
- Multiple npi flag
- N
- Ccn
- 557773
- Associate id
- 8123104783
- Organization name
- PROMPTCARE HEALTH SERVICES INC.
- Incorporation date
- 1996-05-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 454 S CENTRAL AVE
- City
- GLENDALE
- State
- CA
- Zip code
- 912044760