- Enrollment id
- O20200826001413
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1477056448
- Multiple npi flag
- N
- Ccn
- 753144
- Associate id
- 3274950969
- Organization name
- BEST OF CARE HOME HEALTH INC
- Incorporation date
- 2019-09-30
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14328 VICTORY BLVD
- Address line 2
- # 205
- City
- VAN NUYS
- State
- CA
- Zip code
- 914011946
- Practice location type
- HHA BRANCH