- Enrollment id
- O20200903000027
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427684331
- Multiple npi flag
- N
- Ccn
- 559322
- Associate id
- 0547687659
- Organization name
- ASPIRE LA HOME HEALTH CARE INC
- Incorporation date
- 2020-02-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 500 N CENTRAL AVE
- Address line 2
- STE 960
- City
- GLENDALE
- State
- CA
- Zip code
- 912033974