- Enrollment id
- O20210617002435
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1346734779
- Multiple npi flag
- N
- Ccn
- 757002
- Associate id
- 2264832880
- Organization name
- SAFE CARE HOME HEALTH INC
- Incorporation date
- 2016-09-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 815 S CENTRAL AVE
- Address line 2
- STE 1A
- City
- GLENDALE
- State
- CA
- Zip code
- 912042046
- Practice location type
- HHA BRANCH