- Enrollment id
- O20140805002693
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1447668991
- Multiple npi flag
- N
- Ccn
- 059740
- Associate id
- 0648497271
- Organization name
- GL HOME HEALTH CARE INC
- Incorporation date
- 2014-05-07
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 150 E OLIVE AVE
- Address line 2
- STE 209
- City
- BURBANK
- State
- CA
- Zip code
- 915021850
- Practice location type
- HHA BRANCH