- Enrollment id
- O20231030000804
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568139855
- Multiple npi flag
- N
- Ccn
- 757851
- Associate id
- 7315312683
- Organization name
- TATI & PAPI HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14531 HAMLIN ST
- Address line 2
- STE 200
- City
- VAN NUYS
- State
- CA
- Zip code
- 914114125