- Enrollment id
- O20230424000318
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1487256145
- Multiple npi flag
- N
- Ccn
- 757587
- Associate id
- 9133508872
- Organization name
- MERIDIAN HOME HEALTH CARE, INC
- Incorporation date
- 2020-08-21
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6356 VAN NUYS BLVD
- Address line 2
- STE 211
- City
- VAN NUYS
- State
- CA
- Zip code
- 914012741