- Enrollment id
- O20191106002831
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306330220
- Multiple npi flag
- N
- Ccn
- 559342
- Associate id
- 9032541321
- Organization name
- LIVING HOPE HOME HEALTH CARE
- Incorporation date
- 2017-11-03
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4405 W RIVERSIDE DR
- Address line 2
- STE 214
- City
- BURBANK
- State
- CA
- Zip code
- 915054090
- Practice location type
- HHA BRANCH