- Enrollment id
- O20130111000069
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1326399296
- Multiple npi flag
- N
- Ccn
- 059551
- Associate id
- 0042463598
- Organization name
- HEALTHFLEX HOME HEALTH SERVICES
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7677 OAKPORT ST
- Address line 2
- STE 930
- City
- OAKLAND
- State
- CA
- Zip code
- 946211929
- Practice location type
- HHA BRANCH