- Enrollment id
- O20200226000346
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568003044
- Multiple npi flag
- N
- Ccn
- 559432
- Associate id
- 1557798808
- Organization name
- HAMLIN HOME HEALTH CARE INC
- Incorporation date
- 2019-09-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3959 FOOTHILL BLVD
- Address line 2
- STE 304
- City
- LA CRESCENTA
- State
- CA
- Zip code
- 912141664