- Enrollment id
- O20141021001834
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518376409
- Multiple npi flag
- N
- Ccn
- 053102
- Associate id
- 4082835830
- Organization name
- WEST VALLEY HOME HEALTH CARE INC
- Incorporation date
- 2014-07-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17915 VENTURA BLVD
- Address line 2
- STE 200
- City
- ENCINO
- State
- CA
- Zip code
- 913164800
- Practice location type
- HHA BRANCH