- Enrollment id
- O20181001002574
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437646460
- Multiple npi flag
- N
- Ccn
- 559619
- Associate id
- 8729339767
- Organization name
- HUNTINGTON HOME HEALTH AGENCY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 171 N ALTADENA DR
- Address line 2
- UNIT 255
- City
- PASADENA
- State
- CA
- Zip code
- 911077352
- Practice location type
- HHA BRANCH