- Enrollment id
- O20220308000336
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1336733013
- Multiple npi flag
- N
- Ccn
- 753140
- Associate id
- 4082008099
- Organization name
- JANUS HOME HEALTH INC
- Incorporation date
- 2020-08-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 427 W COLORADO ST
- Address line 2
- STE 102A
- City
- GLENDALE
- State
- CA
- Zip code
- 912041583