- Enrollment id
- O20230420000257
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518537414
- Multiple npi flag
- N
- Ccn
- 757415
- Associate id
- 8527423839
- Organization name
- TRIBUTE HOME HEALTH CARE, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 520 E WILSON AVE
- Address line 2
- STE 200
- City
- GLENDALE
- State
- CA
- Zip code
- 912064374