- Enrollment id
- O20190712002067
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467818419
- Multiple npi flag
- N
- Ccn
- 559366
- Associate id
- 1355676347
- Organization name
- ART OF HEALING HOME HEALTH CARE INC
- Incorporation date
- 2015-12-09
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6850 VAN NUYS BLVD
- Address line 2
- STE 303
- City
- VAN NUYS
- State
- CA
- Zip code
- 914054634
- Practice location type
- HHA BRANCH