- Enrollment id
- O20240626002108
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1437885068
- Multiple npi flag
- N
- Ccn
- 757773
- Associate id
- 5294279774
- Organization name
- ANA HOME HEALTH INC
- Incorporation date
- 2022-07-21
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5315 LAUREL CANYON BLVD
- Address line 2
- STE 103
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916074914