- Enrollment id
- O20240923001787
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1295486454
- Multiple npi flag
- N
- Ccn
- 757991
- Associate id
- 4183165731
- Organization name
- HAPPY HEARTS HOME HEALTHCARE INC
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18401 BURBANK BLVD
- Address line 2
- STE 202
- City
- TARZANA
- State
- CA
- Zip code
- 913566603
- Practice location type
- HHA BRANCH