- Enrollment id
- O20230503001926
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1457068553
- Multiple npi flag
- N
- Ccn
- 757752
- Associate id
- 3274998810
- Organization name
- ALFA HOME HEALTH, INC.
- Incorporation date
- 2021-11-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1314 W GLENOAKS BLVD
- Address line 2
- STE 106B
- City
- GLENDALE
- State
- CA
- Zip code
- 912011978