- Enrollment id
- O20251107001366
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1588486716
- Multiple npi flag
- N
- Ccn
- 057600
- Associate id
- 5799275756
- Organization name
- CP ORANGE COUNTY S-CA HH, LLC
- Doing business as name
- PROVIDENCE AT HOME WITH COMPASSUS HOME HEALTH, ORANGE COUNTY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 200 W CENTER STREET PROMENADE
- Address line 2
- STE 200C
- City
- ANAHEIM
- State
- CA
- Zip code
- 928053960