- Enrollment id
- O20030424000037
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427044544
- Multiple npi flag
- N
- Ccn
- 557712
- Associate id
- 4587573340
- Organization name
- PROCARE HOME HEALTH SERVICES INC
- Doing business as name
- TOP CARE HOME HEALTH SERVICES
- Incorporation date
- 1995-12-28
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9683 TIERRA GRANDE ST
- Address line 2
- STE 201
- City
- SAN DIEGO
- State
- CA
- Zip code
- 921266503