- Enrollment id
- O20230601002364
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467123893
- Multiple npi flag
- N
- Ccn
- 757456
- Associate id
- 2961879697
- Organization name
- NUVIDA HOME HEALTH CARE, INC.
- Incorporation date
- 2021-07-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 19725 SHERMAN WAY
- Address line 2
- STE 370
- City
- WINNETKA
- State
- CA
- Zip code
- 913063666