- Enrollment id
- O20200904001463
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1457972861
- Multiple npi flag
- N
- Ccn
- 559735
- Associate id
- 3971920927
- Organization name
- CENTURION HOME HEALTH CARE, INC.
- Incorporation date
- 2019-12-17
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15130 VENTURA BLVD
- Address line 2
- STE 203
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914033301