- Enrollment id
- O20230307000458
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427629286
- Multiple npi flag
- N
- Ccn
- 757562
- Associate id
- 3870966195
- Organization name
- SALUD HOME HEALTH CARE INC
- Incorporation date
- 2021-06-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 11565 LAUREL CANYON BLVD
- Address line 2
- STE 104
- City
- SAN FERNANDO
- State
- CA
- Zip code
- 913404168