- Enrollment id
- O20200615000124
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1386101335
- Multiple npi flag
- N
- Ccn
- 559336
- Associate id
- 0446672729
- Organization name
- RELEVANT HOME HEALTH SERVICES LLC
- Incorporation date
- 2018-11-01
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 12235 BEACH BLVD
- Address line 2
- STE 200C
- City
- STANTON
- State
- CA
- Zip code
- 906803959
- Practice location type
- HHA BRANCH