- Enrollment id
- O20221219002950
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1316602170
- Multiple npi flag
- N
- Ccn
- 687283
- Associate id
- 8123497856
- Organization name
- CALM CARE INC
- Incorporation date
- 2020-11-16
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 300 RIVERSIDE DR E
- Address line 2
- STE 1350
- City
- BRADENTON
- State
- FL
- Zip code
- 342081004
- Practice location type
- HHA BRANCH