- Enrollment id
- O20220503000033
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497410336
- Multiple npi flag
- N
- Ccn
- 757575
- Associate id
- 6002203502
- Organization name
- URGENT HOME HEALTH SERVICES
- Incorporation date
- 2021-09-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 100 N BRAND BLVD
- Address line 2
- STE 310
- City
- GLENDALE
- State
- CA
- Zip code
- 912032656