- Enrollment id
- O20191101001574
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417426693
- Multiple npi flag
- N
- Ccn
- 559165
- Associate id
- 9739411299
- Organization name
- SEVEN STAR HOME HEALTH CARE, INC
- Incorporation date
- 2018-10-17
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8001 LAUREL CANYON BLVD
- Address line 2
- STE 208
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916051465