- Enrollment id
- O20240920000198
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568211647
- Multiple npi flag
- N
- Ccn
- 757908
- Associate id
- 2163963976
- Organization name
- NORMANDIE HOME HEALTH LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7630 VINELAND AVE
- Address line 2
- STE 204A
- City
- SUN VALLEY
- State
- CA
- Zip code
- 913524535
- Practice location type
- HHA BRANCH