- Enrollment id
- O20090616000748
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427282656
- Multiple npi flag
- N
- Ccn
- 059164
- Associate id
- 0840340683
- Organization name
- CARESS HOME HEALTH PROVIDERS, INC.
- Incorporation date
- 2007-06-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22048 SHERMAN WAY
- Address line 2
- STE 304
- City
- CANOGA PARK
- State
- CA
- Zip code
- 913033011