- Enrollment id
- O20250321000630
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1487339289
- Multiple npi flag
- N
- Ccn
- 758098
- Associate id
- 5799207577
- Organization name
- PERFECT HOME HEALTH, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 13758 VICTORY BLVD
- Address line 2
- STE 209
- City
- VAN NUYS
- State
- CA
- Zip code
- 914012359