- Enrollment id
- O20210112002714
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1295201762
- Multiple npi flag
- N
- Ccn
- 559489
- Associate id
- 2365855350
- Organization name
- DEVOTION HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7200 VINELAND AVE
- Address line 2
- UNIT 205
- City
- SUN VALLEY
- State
- CA
- Zip code
- 913525089