- Enrollment id
- O20210121000968
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1316437130
- Multiple npi flag
- N
- Ccn
- 559509
- Associate id
- 6507270279
- Organization name
- HRM HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 539 N GLENOAKS BLVD
- Address line 2
- STE 303
- City
- BURBANK
- State
- CA
- Zip code
- 915023209