- Enrollment id
- O20160613002540
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1598160525
- Multiple npi flag
- N
- Ccn
- 059791
- Associate id
- 4385935881
- Organization name
- MVH HOME HEALTH INC
- Incorporation date
- 2014-10-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4312 WOODMAN AVE
- Address line 2
- # 303
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914235546
- Practice location type
- HHA BRANCH