- Enrollment id
- O20240620000924
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1538894076
- Multiple npi flag
- N
- Ccn
- 757866
- Associate id
- 4688117583
- Organization name
- MODERN DAY HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7120 HAYVENHURST AVE
- Address line 2
- STE 207
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063813