- Enrollment id
- O20100907000007
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437161452
- Multiple npi flag
- N
- Ccn
- 057276
- Associate id
- 2264338409
- Organization name
- JOHN MUIR HEALTH
- Doing business as name
- JOHN MUIR HOME HEALTH SERVICES
- Incorporation date
- 1958-02-28
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2298 PIKE CT
- City
- CONCORD
- State
- CA
- Zip code
- 945201251
- Practice location type
- HHA BRANCH