- Enrollment id
- O20141229000188
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417353723
- Multiple npi flag
- N
- Ccn
- 553126
- Associate id
- 4082937925
- Organization name
- BLESSED HEART HOME CARE INC
- Incorporation date
- 2014-09-15
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 353 E ANGELENO AVE
- Address line 2
- STE J
- City
- BURBANK
- State
- CA
- Zip code
- 915021310