- Enrollment id
- O20200929003155
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1528697307
- Multiple npi flag
- N
- Ccn
- 559749
- Associate id
- 3779902440
- Organization name
- PERENNIAL HOME HEALTH SERVICES INC
- Incorporation date
- 2020-02-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2501 W BURBANK BLVD
- Address line 2
- STE 313
- City
- BURBANK
- State
- CA
- Zip code
- 915052347
- Practice location type
- HHA BRANCH