- Enrollment id
- O20220909000425
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497324693
- Multiple npi flag
- N
- Ccn
- 757417
- Associate id
- 0648654731
- Organization name
- MELA HOME HEALTH CORP
- Incorporation date
- 2021-05-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 539 N GLENOAKS BLVD
- Address line 2
- STE 301A
- City
- BURBANK
- State
- CA
- Zip code
- 915023209