- Enrollment id
- O20050505000361
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1578581518
- Multiple npi flag
- N
- Ccn
- 058077
- Associate id
- 0749220184
- Organization name
- WESTERN HOME CARE, INC.
- Incorporation date
- 2005-02-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6131 ORANGETHORPE AVE
- Address line 2
- STE 290
- City
- BUENA PARK
- State
- CA
- Zip code
- 906204910