- Enrollment id
- O20210517002443
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1386276269
- Multiple npi flag
- N
- Ccn
- 559583
- Associate id
- 7214346568
- Organization name
- PULSE HOME HEALTH SERVICES INC.
- Incorporation date
- 2019-09-09
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 21032 DEVONSHIRE ST
- Address line 2
- STE 208
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913112368