- Enrollment id
- O20210119002102
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1376158634
- Multiple npi flag
- N
- Ccn
- 757134
- Associate id
- 5294148946
- Organization name
- CARING HOME HOME CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4119 W BURBANK BLVD
- Address line 2
- STE 183
- City
- BURBANK
- State
- CA
- Zip code
- 915052122