- Enrollment id
- O20201224000005
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518567882
- Multiple npi flag
- N
- Ccn
- 757129
- Associate id
- 1759793318
- Organization name
- CALIFORNIA HOME HEALTH SERVICES INC
- Incorporation date
- 2020-10-19
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4119 W BURBANK BLVD
- Address line 2
- STE 148
- City
- BURBANK
- State
- CA
- Zip code
- 915052122