- Enrollment id
- O20200309000154
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1396221412
- Multiple npi flag
- N
- Ccn
- 559393
- Associate id
- 4688002538
- Organization name
- H & R HOME HEALTH SERVICES, INC.
- Incorporation date
- 2018-05-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 511 E HARVARD ST
- Address line 2
- STE 7
- City
- GLENDALE
- State
- CA
- Zip code
- 912051184