- Enrollment id
- O20200526001903
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1366917692
- Multiple npi flag
- N
- Ccn
- 559630
- Associate id
- 3375964596
- Organization name
- BRIGHT FUTURE HOME HEALTH INC
- Doing business as name
- LOS ANGELES HOME HEALTH CARE GROUP
- Incorporation date
- 2018-07-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22151 VENTURA BLVD
- Address line 2
- STE 202
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913645738
- Practice location type
- HHA BRANCH