- Enrollment id
- O20201203000718
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1316508880
- Multiple npi flag
- N
- Ccn
- 559542
- Associate id
- 7810308483
- Organization name
- CARE.AM LLC
- Incorporation date
- 2019-01-29
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 600 W BROADWAY
- Address line 2
- STE 310
- City
- GLENDALE
- State
- CA
- Zip code
- 912041025
- Practice location type
- HHA BRANCH