- Enrollment id
- O20110216000510
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437451291
- Multiple npi flag
- N
- Ccn
- 059439
- Associate id
- 7012198500
- Organization name
- DEVOTED NURSES HOME HEALTH CARE INC
- Incorporation date
- 2010-10-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5658 SEPULVEDA BLVD
- Address line 2
- STE 213
- City
- VAN NUYS
- State
- CA
- Zip code
- 914112951