- Enrollment id
- O20231212000596
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306579891
- Multiple npi flag
- N
- Ccn
- 758100
- Associate id
- 2961851209
- Organization name
- CARE AT HOME HEALTHCARE, INC.
- Incorporation date
- 2022-04-08
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1901 E LAMBERT RD
- Address line 2
- STE 102
- City
- LA HABRA
- State
- CA
- Zip code
- 906315757