- Enrollment id
- O20241111002996
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1316687478
- Multiple npi flag
- N
- Ccn
- 758181
- Associate id
- 2769916972
- Organization name
- NESSA HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18345 VENTURA BLVD
- Address line 2
- STE 515
- City
- TARZANA
- State
- CA
- Zip code
- 913564245
- Practice location type
- HHA BRANCH