- Enrollment id
- O20240219001600
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1346994704
- Multiple npi flag
- N
- Ccn
- 757703
- Associate id
- 6002250040
- Organization name
- CNS HOME HEALTH CARE INC
- Incorporation date
- 2022-01-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 401 N BRAND BLVD
- Address line 2
- STE L102B
- City
- GLENDALE
- State
- CA
- Zip code
- 912034427