- Enrollment id
- O20200513001237
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1487204137
- Multiple npi flag
- N
- Ccn
- 753105
- Associate id
- 1850722547
- Organization name
- A&A HOME CARE
- Incorporation date
- 2019-06-27
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18345 VENTURA BLVD
- Address line 2
- STE 315
- City
- TARZANA
- State
- CA
- Zip code
- 913564242
- Practice location type
- HHA BRANCH