- Enrollment id
- O20080404000390
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1407990575
- Multiple npi flag
- N
- Ccn
- 057494
- Associate id
- 8820175599
- Organization name
- REDLANDS COMMUNITY HOSPITAL
- Doing business as name
- REDLANDS COMMUNITY HOSPITAL HOME HEALTH CARE SERVICES
- Incorporation date
- 1927-06-08
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 350 TERRACINA BLVD
- City
- REDLANDS
- State
- CA
- Zip code
- 923734850