- Enrollment id
- O20220113000702
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1588257927
- Multiple npi flag
- N
- Ccn
- 753122
- Associate id
- 0547652067
- Organization name
- CHARMING HOME HEALTH CARE INC
- Incorporation date
- 2020-10-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3151 CAHUENGA BLVD W
- Address line 2
- STE 203
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900681768