- Enrollment id
- O20190612000016
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1508305756
- Multiple npi flag
- N
- Ccn
- 559124
- Associate id
- 5092048751
- Organization name
- CARE HOME HEALTH INC
- Incorporation date
- 2016-05-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7200 VINELAND AVE
- Address line 2
- UNIT 213
- City
- SUN VALLEY
- State
- CA
- Zip code
- 913525088
- Practice location type
- HHA BRANCH