- Enrollment id
- O20231020001277
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1588315592
- Multiple npi flag
- N
- Ccn
- 757670
- Associate id
- 5799131181
- Organization name
- YANED HOME HEALTH SERVICES
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12501 CHANDLER BLVD
- Address line 2
- STE 203
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916071900