- Enrollment id
- O20190923000058
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437651874
- Multiple npi flag
- N
- Ccn
- 559094
- Associate id
- 1355671181
- Organization name
- VN HOME HEALTH SERVICES INC
- Incorporation date
- 2017-06-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5121 VAN NUYS BLVD
- Address line 2
- STE 212
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914031496