- Enrollment id
- O20201006001912
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306313572
- Multiple npi flag
- N
- Ccn
- 559459
- Associate id
- 0042639312
- Organization name
- CARE FIRST HOME HEALTH, INC.
- Incorporation date
- 2018-10-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7120 HAYVENHURST AVE
- Address line 2
- STE 206
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063813