- Enrollment id
- O20050923000564
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1588845036
- Multiple npi flag
- N
- Ccn
- 059223
- Associate id
- 9830123322
- Organization name
- BENEFICIAL HOME HEALTH SERVICES INC.
- Incorporation date
- 2005-01-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1901 E LAMBERT RD
- Address line 2
- STE 203S
- City
- LA HABRA
- State
- CA
- Zip code
- 906310505
- Practice location type
- HHA BRANCH